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General NPI Number Information
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NPI Number | 1932637634
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Entity Type | Individual
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Provider Name | REGINA PLOHAL FNP
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Gender | Female
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 10210 HICKORYWOOD HILL AVE STE 200
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-3417
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Country | US
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Telephone | 704-931-3375
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Fax | 704-601-7808
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Provider Business Mailing Address
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Address Line | 10210 HICKORYWOOD HILL AVE STE 200
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-3417
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Country | US
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Telephone | 704-931-3376
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Fax | 704-601-7808
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 116288
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5011197
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License Number State | NC
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