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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Fawna J. Crum · Fawna Joy Crum | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Fawna | [sources] | |||
| ID Number | PN288798 | [sources] | |||
| Last name | Crum | [sources] | |||
| Middle name | J. | [sources] | |||
| NPI | 1851074801 | [sources] | |||
| Position | LPN | [sources] | |||
| Address | Crawford, PA | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medpa-a23709e1207a1b270f1a96f1243a4b436e3086df · us-medde-535bab0fcc1a8baf26cc754e807099a53407d9fdFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Pennsylvania Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Crawford, PA | United States | |
| United States | Department of Human Services | - | - |