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General NPI Number Information
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NPI Number | 1891279287
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Entity Type | Individual
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Provider Name | RICHARD L RODGERS JR. LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 5105 S US HWY 41 PM 141
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City | TERRE HAUTE
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State | IN
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Zip | 47802
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Country | US
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Telephone | 812-251-5034
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Fax | 812-638-4369
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Provider Business Mailing Address
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Address Line | 5105 S US HWY 41 PM 141
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City | TERRE HAUTE
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State | IN
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Zip | 47802
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Country | US
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Telephone | 812-251-5034
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Fax | 812-638-4369
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-21892
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 115494
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34008256A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1493020534
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3904
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License Number State | NH
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