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Canonical ID: us-medwa-4774a5383a4abb37d89c678520f3fd9148ed50bb · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:country | us | us_wa_med_exclusions | us-medwa-4774a5383a4abb37d89c678520f3fd9148ed50bb | ||||
LegalEntity:id | a4f1b27cf66d4dceb3303fff541353f56012eb0f | us_wa_med_exclusions | us-medwa-4774a5383a4abb37d89c678520f3fd9148ed50bb | ||||
LegalEntity:idNumber | MD60364670 | us_wa_med_exclusions | us-medwa-4774a5383a4abb37d89c678520f3fd9148ed50bb | ||||
LegalEntity:name | Supple, Kelly A. MD | us_wa_med_exclusions | us-medwa-4774a5383a4abb37d89c678520f3fd9148ed50bb | ||||
LegalEntity:npiCode | 1861452534 | us_wa_med_exclusions | us-medwa-4774a5383a4abb37d89c678520f3fd9148ed50bb | ||||
LegalEntity:topics | debarment | us_wa_med_exclusions | us-medwa-4774a5383a4abb37d89c678520f3fd9148ed50bb | ||||