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Individual
REBECCA JANE COLLMAN
Active
Individual
REBECCA JANE COLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
420007780
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002884
—
VT
01
—
26V031
MVP HEALTHCARE
VT
01
—
415510
CIGNA
VT
01
—
9919
BLUECROSS/BLUESHIELD
VT
Enumeration date
09/25/2006
Last updated
11/06/2008
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