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General NPI Number Information
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NPI Number | 1982797882
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Entity Type | Individual
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Provider Name | WILLIAM ROBERT ROGERS MD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10B MADISON AVENUE EXT
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City | ALBANY
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State | NY
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Zip | 12203-5383
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Country | US
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Telephone | 518-452-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 3 GROOT DR
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City | ALTAMONT
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State | NY
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Zip | 12009-9471
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Country | US
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Telephone | 518-861-6900
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 149162
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License Number State | NY
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