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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Renee Tartaglione | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Renee | [sources] | |||
| Last name | Tartaglione | [sources] | |||
| NPI | 1134267214 | [sources] | |||
| Address | (CT), (CT) · Philadelphia, 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
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| Address | ||
|---|---|---|
| Full address | Country | |
| Philadelphia, PA | United States | |
| (CT), (CT) | United States | |
| Linked to | ||||
|---|---|---|---|---|
| Object | Role | Start date | End date | |
| Juniata Community Mental Health Debarred entity | - | - | - | |