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General NPI Number Information
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NPI Number | 1811472624
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Entity Type | Individual
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Provider Name | BROOKLYN ROSE PLUGER PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 75 FRANCIS ST
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City | BOSTON
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State | MA
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Zip | 02115-6106
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Country | US
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Telephone | 617-732-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 271 STANDISH LN
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City | HUDSON
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State | NH
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Zip | 03051-4505
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Country | US
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Telephone | 616-204-7281
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA6774
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License Number State | MA
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