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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Benjamin H Woollaston · Benjamin H. Woollaston | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Benjamin | [sources] | |||
| ID Number | MA057005 | [sources] | |||
| Last name | Woollaston | [sources] | |||
| Middle name | H · H. | [sources] | |||
| NPI | 1679988430 | [sources] | |||
| Title | PA-C · PAC | [sources] | |||
| Address | Bedford, PA · Blair, 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-f90e8be2a921bd8b365aac72c9aa6401850ecefe · us-medpa-95a6af56c5ce2d4346a1ac06a4212a8bdb3a7c4bFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Bedford, PA | United States of America | |
| BLAIR, PA · Blair, PA | ||
| United States of America | Department of Human Services | - | - |