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General NPI Number Information
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NPI Number | 1831403047
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Entity Type | Organization
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Legal Business Name | JANET L. ROGGE, M.D. PS
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY STE 1259
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City | SEATTLE
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State | WA
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Zip | 98101-1720
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Country | US
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Telephone | 206-624-5355
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Fax | 206-624-5430
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Provider Business Mailing Address
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Address Line | 509 OLIVE WAY STE 1259
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City | SEATTLE
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State | WA
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Zip | 98101-1720
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Country | US
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Telephone | 206-624-5355
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Fax | 206-624-5430
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | FAITH MCNAB
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Credential |
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Telephone | 206-624-5355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD00014838
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License Number State | WA
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