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Individual
MISS REBECCA J RUF
Active
Individual
MISS REBECCA J RUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700160272
—
NC
01
—
19AK3
BLUE CROSS BLUE SHIELD PROVIDER IDENTIFIER
NC
Enumeration date
10/03/2011
Last updated
08/23/2016
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