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Individual
REBECCA ANN ROSE
Active
Individual
REBECCA ANN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2385
NH
363A00000X
Physician Assistant
Primary
PA2196
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400503YPNH01
ANTHEM
NH
05
—
30332536
—
NH
Enumeration date
02/09/2006
Last updated
01/07/2026
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