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Individual
NICOLE R PLOGER
Active
Individual
NICOLE R PLOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001611600
—
FL
05
—
02749246
—
NY
01
—
P00824415
RAILROAD MEDICARE
FL
Enumeration date
07/17/2006
Last updated
10/13/2017
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