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General NPI Number Information
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NPI Number | 1992032403
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Entity Type | Organization
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Legal Business Name | ROGERS GYNECOLOGY & WOMEN'S HEALTH, PLLC
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 121 EDINBURGH SOUTH DR SUITE 100
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City | CARY
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State | NC
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Zip | 27511-6448
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Country | US
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Telephone | 919-465-4455
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Fax | 919-465-2211
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Provider Business Mailing Address
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Address Line | 121 EDINBURGH SOUTH DR SUITE 100
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City | CARY
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State | NC
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Zip | 27511-6448
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Country | US
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Telephone | 919-465-4455
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Fax | 919-465-2211
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. TRACIE MAEDER
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Credential |
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Telephone | 919-465-4455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 94-00622
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License Number State | NC
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