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Canonical ID: us-mednd-1d9e6dd88ea6133d7d822f905616a52ca063d9cb · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 2721 39th Street SE #B Minot, ND 58701 | us_nd_med_exclusions | us-mednd-1d9e6dd88ea6133d7d822f905616a52ca063d9cb | ||||
LegalEntity:country | us | us_nd_med_exclusions | us-mednd-1d9e6dd88ea6133d7d822f905616a52ca063d9cb | ||||
LegalEntity:description | Medicaid Provider ID: 1455733 | us_nd_med_exclusions | us-mednd-1d9e6dd88ea6133d7d822f905616a52ca063d9cb | ||||
LegalEntity:id | 365e2d9b3af418503a67303635a6ab2c30a492de | us_nd_med_exclusions | us-mednd-1d9e6dd88ea6133d7d822f905616a52ca063d9cb | ||||
LegalEntity:name | Monson, Ronald | us_nd_med_exclusions | us-mednd-1d9e6dd88ea6133d7d822f905616a52ca063d9cb | ||||
LegalEntity:npiCode | 1063017176 | us_nd_med_exclusions | us-mednd-1d9e6dd88ea6133d7d822f905616a52ca063d9cb | ||||
LegalEntity:sector | Qualified Service Provider | us_nd_med_exclusions | us-mednd-1d9e6dd88ea6133d7d822f905616a52ca063d9cb | ||||
LegalEntity:topics | debarment | us_nd_med_exclusions | us-mednd-1d9e6dd88ea6133d7d822f905616a52ca063d9cb | ||||