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General NPI Number Information
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NPI Number | 1619121472
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Entity Type | Individual
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Provider Name | BARBARA S. REBELE PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/06/2008
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 22 S MARKET ST SUITE 6D
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City | FREDERICK
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State | MD
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Zip | 21701-5570
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Country | US
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Telephone | 301-682-5683
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Fax |
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Provider Business Mailing Address
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Address Line | 29 PLEASANT HILL RD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-2422
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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 | C0001906
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License Number State | MD
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