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Individual
JOHN L CANHAM
Active
Individual
JOHN L CANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006959
NY
364SE0003X
Emergency Clinical Nurse Specialist
6959
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02650553
—
NY
01
—
162597BT
PREFERRED CARE
—
01
—
P019006959
EXCELLUS
—
Enumeration date
11/28/2005
Last updated
07/05/2023
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