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Individual
MRS. REBECCA SOLOMON CUMBO
Active
Individual
MRS. REBECCA SOLOMON CUMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED./CCC
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
829
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26450
BCBS PROVIDER NUMBER
NC
01
—
51047116
TRICARE PROVIDER NUMBER
NC
05
—
7426450
—
NC
01
—
B1272
MEDCOST PRACTICE ID
NC
01
—
E2524
MEDCOST DR ID
NC
Enumeration date
12/19/2005
Last updated
06/18/2008
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