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Individual
MRS. REBECCA HAASE
Active
Individual
MRS. REBECCA HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
24282
TN
363LF0000X
Family Nurse Practitioner
Primary
AP07697
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355341
—
LA
Enumeration date
02/26/2014
Last updated
08/27/2020
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