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General NPI Number Information
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NPI Number | 1467903245
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Entity Type | Individual
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Provider Name | REBECCA LYNN BEBO PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 701 E HAMPDEN AVE STE 225
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2737
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Country | US
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Telephone | 303-788-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 170 DUNSINANE LN STE 100
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City | CASTLE ROCK
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State | CO
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Zip | 80104-3396
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA.0004739
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License Number State | CO
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