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Canonical ID: NK-CrhRYWGd4qUm4JbqpmHmGj · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 204 DALE ROAD #1, MOUNT HOLLY, NJ 08060 | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||
Person:address | 204 DALE RD, WESTAMPTON, NJ 080605516 | ext_us_cms_npi | us-npi-1053433276 | ||||
LegalEntity:addressEntity | addr-544170c3f04afec3d26db2a0fe936dfee1e2c6b3 | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | ||||
Person:country | us | ext_us_cms_npi | us-npi-1053433276 | ||||
LegalEntity:country | us | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | ||||
Person:firstName | LARRY | ext_us_cms_npi | us-npi-1053433276 | ||||
LegalEntity:id | 513322e4c31fe6f4eb09cab3ed394e76d38371f8 | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | ||||
Person:id | cf877a267ef0f1029b1a967479db39c8070a49be | ext_us_cms_npi | us-npi-1053433276 | ||||
Person:lastName | PETTIS | ext_us_cms_npi | us-npi-1053433276 | ||||
LegalEntity:name | PETTIS, LARRY | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||
Person:name | LARRY PETTIS | ext_us_cms_npi | us-npi-1053433276 | ||||
Person:npiCode | 1053433276 | ext_us_cms_npi | us-npi-1053433276 | ||||
LegalEntity:npiCode | 1053433276 | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||
LegalEntity:sector | MD | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||
Person:title | DR. | ext_us_cms_npi | us-npi-1053433276 | ||||
LegalEntity:topics | debarment | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | ||||