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Individual
REBEKAH WARD
Active
Individual
REBEKAH WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-68507
NULL
363A00000X
Physician Assistant
Primary
PT2021-075
AR
Other
Enumeration date
12/20/2018
Last updated
11/02/2021
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