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General NPI Number Information
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NPI Number | 1932138757
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Entity Type | Individual
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Provider Name | REBECCA D KEMP PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 6488 CHINOOK ST KEMPPA@AOL.COM
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City | BONNERS FERRY
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State | ID
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Zip | 83805-7515
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Country | US
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Telephone | 208-267-8710
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Fax | 888-972-7960
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Provider Business Mailing Address
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Address Line | 6488 CHINOOK KEMPPA@AOL.COM
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City | BONNERS FERRY
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State | ID
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Zip | 83805-7515
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Country | US
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Telephone | 208-267-8710
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Fax | 888-972-7960
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | PA-2112
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License Number State | ID
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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 | PA631
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License Number State | NV
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