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General NPI Number Information
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NPI Number | 1811850324
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Entity Type | Individual
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Provider Name | CASEY ROGERS
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 311C MALL RD
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City | OAK HILL
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State | WV
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Zip | 25901-6113
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Country | US
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Telephone | 304-242-8404
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Fax |
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Provider Business Mailing Address
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Address Line | 1652 BROYLES CEMETERY RD
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City | LINDSIDE
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State | WV
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Zip | 24951-7076
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Country | US
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Telephone | 606-731-8028
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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