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Individual
REBECCA LYNNE IRVING
Active
Individual
REBECCA LYNNE IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002996
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1E8ST
FL BCBS
FL
Enumeration date
04/12/2006
Last updated
05/26/2022
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