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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Brad E Church · Brad E. Church | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Brad | [sources] | |||
| ID Number | RN356752L | [sources] | |||
| Last name | Church | [sources] | |||
| Middle name | E. | [sources] | |||
| NPI | 1912985607 | [sources] | |||
| Position | RN | [sources] | |||
| Address | Out of State, Out of State | [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-5503f86b79949e6539239d372960f6e5204d2809 · us-medde-cab93b6b789cfde2dde99e75765ea6eb098e79a6For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Out of State, Out of State | United States | |
| United States | Pennsylvania Department of Human Services | - | - |