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Individual
MS. NANCY JAMISON PECKENPAUGH
Active
Individual
MS. NANCY JAMISON PECKENPAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED RD CDN CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0012301
NY
163WD0400X
Diabetes Educator Registered Nurse
09224400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000916207001
HEALTH NOW INSURANCE CO
NY
01
—
204479481
BC/BS
NY
01
—
4410036
AETNA
NY
Enumeration date
04/10/2007
Last updated
12/07/2011
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