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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Clarence R. Verdell · Clarence Verdell | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Clarence | [sources] | |||
| ID Number | MD044437E | [sources] | |||
| Last name | Verdell | [sources] | |||
| Middle name | R. | [sources] | |||
| NPI | 1649206376 | [sources] | |||
| Title | MD | [sources] | |||
| Address | (NJ), (NJ) | [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-7539f18a5af39d5a914814394085f220738cf835 · us-medpa-417ff781828e845dd4a896b9b57b5adc3f838710For 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 | |
| (NJ), (NJ) · NJ, NJ | United States of America | |