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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Jackie Pujol · PUJOL JACKIE | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License No: D41392 | [sources] | |||
| First name | Jackie | [sources] | |||
| ID Number | 00112525 | [sources] | |||
| Last name | Pujol | [sources] | |||
| NPI | 1265531388 | [sources] | |||
| Sector | MD · Physician | [sources] | |||
| Position | FAMILY PRACTICE (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 1416 CARRINGTON LANE, VIENNA, VA 22182 · 1416 Carrington Lane, Vienna VA 22182 · VIENNA, VA 22182, USA | [sources] | |||
| Last change | Last processed | First seen | |||
People and companies excluded from Federally funded health care programs
United States · OIG
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States of America · OMIG
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States of America · MDH
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-medny-b58a8190f91ce20425dd4900024ed4b8a47f7ca8 · us-fed-excl-jackie-pujol-22182-vienna · us-medmd-3363dfbd8ce3030cd4f5be21f8e8674b20d9bf59For experts: raw data explorer
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| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States | HHS | Reciprocal | - |
| United States | Maryland Department of Health | - | - |
| United States | New York State Office of the Medicaid Inspector General | - | - |