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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Rita Marie Boutot · Rita Marie Boutot Harrison | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Rita | [sources] | |||
| ID Number | MD067781L | [sources] | |||
| Last name | Boutot · Boutot Harrison | [sources] | |||
| Middle name | Marie | [sources] | |||
| NPI | 1659365716 | [sources] | |||
| Title | MD | [sources] | |||
| Address | Adams, 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-45b728e2bf1f769cd0b59ebfea01f6c7a8e7f130 · us-medpa-903f294894c4eea0608c81369562543d61e3b338For 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 | |
| Adams, PA | United States of America | |