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General NPI Number Information
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NPI Number | 1902060213
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Entity Type | Organization
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Legal Business Name | THOMAS F. ROGERS, D.D.S., P.C.
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 141 COURT ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-3807
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Country | US
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Telephone | 508-746-6226
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Fax |
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Provider Business Mailing Address
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Address Line | 141 COURT ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-3807
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Country | US
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Telephone | 508-746-6226
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS F. ROGERS
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Credential | D.D.S.
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Telephone | 508-746-6226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 13089
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License Number State | MA
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