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Individual
REBECCA LYNN RIDER
Active
Individual
REBECCA LYNN RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
030608
NY
363A00000X
Physician Assistant
25MP00811000
NJ
363A00000X
Physician Assistant
C0009821
MD
363A00000X
Physician Assistant
Primary
MA061858
PA
363A00000X
Physician Assistant
PA1577
ME
363A00000X
Physician Assistant
PA95345
MA
Other
Enumeration date
12/14/2015
Last updated
10/07/2025
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