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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Randolph A Magone · Randolph A. Magone | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Randolph | [sources] | |||
| ID Number | DC006269L | [sources] | |||
| Last name | Magone | [sources] | |||
| Middle name | A · A. | [sources] | |||
| NPI | 1144280512 | [sources] | |||
| Title | D.C. | [sources] | |||
| Address | Fayette, PA | [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-006463f8012d25d1a57a35184c5d1ffd9f971d84 · us-medpa-b2a3ccf04e823e0d51521e53d11025335ae4f8ebFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Human Services | - | |||
| United States of America | Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Fayette, PA | United States of America | |