Canonical ID: NK-9GDesmDrQJCf9LoS4ZZwuL · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Concord, NC 28025 | eng | us_sc_med_exclusions | us-medsc-7e4c527cc2805ae8f2f3b4947256d6a077699cbc | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-7e4c527cc2805ae8f2f3b4947256d6a077699cbc | |||
LegalEntity:id | 1fb5ce4e747aaf687489353bd0166015853015d9 | eng | us_sc_med_exclusions | us-medsc-7e4c527cc2805ae8f2f3b4947256d6a077699cbc | |||
LegalEntity:name | Stefic, Regina Victoria | eng | us_sc_med_exclusions | us-medsc-7e4c527cc2805ae8f2f3b4947256d6a077699cbc | |||
LegalEntity:npiCode | 1659325975 | eng | us_sc_med_exclusions | us-medsc-7e4c527cc2805ae8f2f3b4947256d6a077699cbc | |||
LegalEntity:sector | Ind-Lic HC Serv Prov - Physician Assistant | eng | us_sc_med_exclusions | us-medsc-7e4c527cc2805ae8f2f3b4947256d6a077699cbc | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-7e4c527cc2805ae8f2f3b4947256d6a077699cbc | |||