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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Jason Federer | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Jason | [sources] | |||
| Last name | Federer | [sources] | |||
| NPI | 1689022675 · 1881135184 | [sources] | |||
| Address | Washington, 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
For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Washington, PA | United States | |
| Linked to | ||||
|---|---|---|---|---|
| Object | Role | Start date | End date | |
| McKees Rocks Dental Debarred entity | - | - | - | |
| Allison Park Dental | ||||
| - |
| - |
| - |