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General NPI Number Information
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NPI Number | 1851589832
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Entity Type | Organization
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Legal Business Name | DR ROGAN & ASSOCIATES PC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 8475 DAUBY LN
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City | TELL CITY
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State | IN
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Zip | 47586-8346
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Country | US
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Telephone | 812-547-1377
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Fax | 812-547-3695
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Provider Business Mailing Address
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Address Line | 8475 DAUBY LN
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City | TELL CITY
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State | IN
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Zip | 47586-8346
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Country | US
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Telephone | 812-547-1377
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Fax | 812-547-3695
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES RICHARD ROGAN II
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Credential | MD
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Telephone | 812-547-1377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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