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Individual
AMY REBECCA ROSINE
Active
Individual
AMY REBECCA ROSINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32095
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080181483
RR MEDICARE PIN
TN
05
—
3870066
—
TN
Enumeration date
06/09/2006
Last updated
05/09/2008
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