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General NPI Number Information
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NPI Number | 1871442244
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Entity Type | Individual
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Provider Name | KRISTIE LYNN RODGERS
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 4700 ALLIANCE BLVD
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City | PLANO
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State | TX
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Zip | 75093-5323
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Country | US
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Telephone | 469-814-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 400 DOGWOOD DR
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City | ANNA
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State | TX
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Zip | 75409-5094
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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