Canonical ID: NK-6u2hftvSGajFmbiKfXxDzP · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 1 PEARL ST, SUITE 1400, BROCKTON, MA 023012864 | ext_us_cms_npi | us-npi-1629067301 | ||||
Person:country | us | ext_us_cms_npi | us-npi-1629067301 | ||||
LegalEntity:country | us | us_ma_med_exclusions | us-medma-b0b14cdee2d58c2eb7d51827e51b02805e1a0eea | ||||
Person:firstName | FRED | ext_us_cms_npi | us-npi-1629067301 | ||||
Person:id | 64740f99a60b29c8b76ecbf91866ef23e09fec1d | ext_us_cms_npi | us-npi-1629067301 | ||||
LegalEntity:id | 0c636643f0949c504aa77fee0af7a3f50d21b755 | us_ma_med_exclusions | us-medma-b0b14cdee2d58c2eb7d51827e51b02805e1a0eea | ||||
Person:lastName | THALER | ext_us_cms_npi | us-npi-1629067301 | ||||
Person:middleName | J | ext_us_cms_npi | us-npi-1629067301 | ||||
Person:name | FRED J THALER | ext_us_cms_npi | us-npi-1629067301 | ||||
LegalEntity:name | FRED J THALER | eng | us_ma_med_exclusions | us-medma-b0b14cdee2d58c2eb7d51827e51b02805e1a0eea | |||
Person:npiCode | 1629067301 | ext_us_cms_npi | us-npi-1629067301 | ||||
LegalEntity:npiCode | 1629067301 | eng | us_ma_med_exclusions | us-medma-b0b14cdee2d58c2eb7d51827e51b02805e1a0eea | |||
LegalEntity:sector | PHYSICIAN | eng | us_ma_med_exclusions | us-medma-b0b14cdee2d58c2eb7d51827e51b02805e1a0eea | |||
LegalEntity:topics | debarment | us_ma_med_exclusions | us-medma-b0b14cdee2d58c2eb7d51827e51b02805e1a0eea | ||||