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Individual
VINCE RENE SCOGGINS
Active
Individual
VINCE RENE SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103648
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578514261
—
NC
05
—
1930PA
—
SC
Enumeration date
05/15/2006
Last updated
05/25/2022
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