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General NPI Number Information
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NPI Number | 1891401774
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Entity Type | Individual
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Provider Name | TRENTON P ROGERS DC
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Gender | Male
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 3525 MITCHELL RD
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City | BEDFORD
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State | IN
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Zip | 47421-5558
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Country | US
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Telephone | 812-275-4419
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Fax | 812-275-8044
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Provider Business Mailing Address
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Address Line | PO BOX 608
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City | BEDFORD
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State | IN
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Zip | 47421-0608
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Country | US
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Telephone | 812-275-4419
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Fax | 812-275-8044
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08003368A
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License Number State | IN
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