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General NPI Number Information
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NPI Number | 1912193269
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Entity Type | Individual
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Provider Name | GEORGE T ROGERS C.O.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 25 BUTTRICK RD BLDG B UNIT 4
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City | LONDONDERRY
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State | NH
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Zip | 03053-3352
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Country | US
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Telephone | 603-425-0106
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Fax | 603-226-0845
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Provider Business Mailing Address
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Address Line | 246 PLEASANT STREET SUITE 200
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City | CONCORD
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State | NH
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Zip | 03301-2548
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Country | US
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Telephone | 603-226-0106
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Fax | 603-226-0845
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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