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General NPI Number Information
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NPI Number | 1902124084
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Entity Type | Individual
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Provider Name | SCOTT WILLIAM ROGERS MD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 350 HERITAGE WAY STE 1200
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City | KALISPELL
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State | MT
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Zip | 59901-3160
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Country | US
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Telephone | 406-752-6784
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Fax | 406-756-4111
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Provider Business Mailing Address
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Address Line | 350 HERITAGE WAY STE 1200
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City | KALISPELL
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State | MT
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Zip | 59901-3160
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Country | US
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Telephone | 406-752-6784
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Fax | 406-756-4111
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MT197246
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 44892
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License Number State | MT
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