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Individual
MADISON REEPING
Active
Individual
MADISON REEPING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064614
PA
363AS0400X
Surgical Physician Assistant
MA064614
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104226410
—
PA
01
—
6A1720
PTAN
PA
01
—
6A1722
PTAN
PA
Enumeration date
06/27/2023
Last updated
01/28/2026
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