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General NPI Number Information
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NPI Number | 1962658849
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Entity Type | Individual
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Provider Name | ALISON L ROGOWSKI
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Gender | Female
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Dates
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Enumeration Date | 08/12/2008
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 9935 RED ARROW HWY
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City | BRIDGMAN
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State | MI
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Zip | 49106-9002
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Country | US
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Telephone | 269-465-3017
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Fax |
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Provider Business Mailing Address
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Address Line | 112 LAUREL ST.
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City | LAPORTE
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State | IN
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Zip | 46350-2658
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Country | US
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Telephone | 219-575-0506
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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