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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | William J Blazes · William J. Blazes | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | William | [sources] | |||
| ID Number | OS013982 | [sources] | |||
| Last name | Blazes | [sources] | |||
| Middle name | J · J. | [sources] | |||
| NPI | 1053465633 | [sources] | |||
| Title | DO · Physician | [sources] | |||
| Address | Crawford, PA · Out of State, Out of State | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medpa-d01b99eb87603d68eab038cf582f2884ac89152a · us-medpa-a20e62a8322cadc8bb899558c243d70b7822ace2For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Out of State, Out of State | United States of America | |
| Crawford, PA | ||
| United States of America | Department of Human Services | - | - |