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Individual
JEFFREY DANNER CONANT
Active
Individual
JEFFREY DANNER CONANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0509 P
NH
363A00000X
Physician Assistant
5601005057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00059932
BCBS OF VT
VT
05
—
0301819
—
VT
05
—
1011463
—
VT
05
—
30213617
—
NH
05
—
30332889
—
NH
05
—
30513983
—
NH
01
—
714276
MVP
NH
01
—
7459647
AETNA GROUP PROV NUMBER
NH
01
—
7460555
AETNA
NH
01
—
8000921
LADIES FIRST PROV NUMBER
VT
05
—
9000178
—
VT
01
—
RE8542
GROUP NHIC NUMBER
NH
Enumeration date
05/09/2006
Last updated
11/29/2007
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