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General NPI Number Information
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NPI Number | 1912619396
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Entity Type | Individual
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Provider Name | TAMMY ROGERS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 200 W MARTIN LUTHER KING BLVD STE 1000
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City | CHATTANOOGA
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State | TN
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Zip | 37402-2571
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Country | US
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Telephone | 423-269-2255
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Fax | 888-698-8617
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Provider Business Mailing Address
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Address Line | 259 COVENANT DR NE
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City | CLEVELAND
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State | TN
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Zip | 37323-4443
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Country | US
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Telephone | 304-964-3951
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11023440
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GAA-NP001451
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 33988
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License Number State | TN
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