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Individual
REBECCA LOUISE HAFER
Active
Individual
REBECCA LOUISE HAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003056
VA
363A00000X
Physician Assistant
C0004549
MD
363A00000X
Physician Assistant
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103287930
—
PA
01
—
P00844729
RR MEDICARE
VA
01
—
P00993618
RR MEDICARE
MD
01
—
P1024234
RR MEDICARE
PA
Enumeration date
12/19/2006
Last updated
03/01/2018
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