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General NPI Number Information
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NPI Number | 1891674602
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Entity Type | Individual
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Provider Name | ABIGAIL N ROGERS
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Gender | Female
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 12865 POINTE DEL MAR WAY STE 200
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City | DEL MAR
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State | CA
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Zip | 92014-3860
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Country | US
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Telephone | 858-535-1894
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 RUFFIN RD UNIT 234
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City | SAN DIEGO
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State | CA
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Zip | 92123-2546
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Country | US
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Telephone | 925-890-8928
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PT308418
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License Number State | CA
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