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General NPI Number Information
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NPI Number | 1144478009
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Entity Type | Individual
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Provider Name | REBECCA M SASSAMAN PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 5472 OLD SHELL RD
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City | MOBILE
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State | AL
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Zip | 36608-3046
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Country | US
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Telephone | 251-378-0200
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Fax | 251-378-0206
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Provider Business Mailing Address
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Address Line | 5472 OLD SHELL RD
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City | MOBILE
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State | AL
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Zip | 36608-3046
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Country | US
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Telephone | 251-378-0200
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Fax | 251-378-0206
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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 | TA-1658
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 619
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License Number State | AL
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