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Individual
MISS TARA NICOLE ROGERS
Active
Individual
MISS TARA NICOLE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-513
AR
363AS0400X
Surgical Physician Assistant
—
NULL
Other
Enumeration date
10/20/2010
Last updated
05/26/2026
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