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General NPI Number Information
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NPI Number | 1811789498
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Entity Type | Individual
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Provider Name | KERRIANNE ROGERS
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 309 S SHARON AMITY RD # 1234
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City | CHARLOTTE
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State | NC
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Zip | 28211-2978
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Country | US
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Telephone | 704-926-7546
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Fax |
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Provider Business Mailing Address
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Address Line | 225 VERBENA ST APT 1234
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City | CHARLOTTE
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State | NC
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Zip | 28217-3348
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NC
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