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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | James Mark Davis | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | James | [sources] | |||
| ID Number | ME53457 | [sources] | |||
| Last name | Davis | [sources] | |||
| Middle name | Mark | [sources] | |||
| NPI | 1215961172 | [sources] | |||
| Title | MD | [sources] | |||
| Address | FL, FL | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| (FL), (FL) · (FL.), (FL.) · FL, FL | United States | |