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Canonical ID: NK-EVk5iVTCngsvs22o49QDRq · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 201 BRUSH ST, UKIAH, CA 954823424 | ext_us_cms_npi | us-npi-1669514253 | ||||
LegalEntity:address | 20 WILSON TERRACE, APT. 1, STATEN ISLAND, NY 10304 | eng | us_nj_med_exclusions | us-mednj-d38a0edf3c5171450a9b26b443dd4d2d5cbc46ea | |||
LegalEntity:addressEntity | addr-0a4e64afaf6cad735913479f0cea95f8b4114d09 | us_nj_med_exclusions | us-mednj-d38a0edf3c5171450a9b26b443dd4d2d5cbc46ea | ||||
Person:country | us | ext_us_cms_npi | us-npi-1669514253 | ||||
LegalEntity:country | us | us_nj_med_exclusions | us-mednj-d38a0edf3c5171450a9b26b443dd4d2d5cbc46ea | ||||
Person:firstName | JILL | ext_us_cms_npi | us-npi-1669514253 | ||||
Person:id | 0ddc26ff5df28df1371d75ff8803ec3adf9a46fb | ext_us_cms_npi | us-npi-1669514253 | ||||
LegalEntity:id | d686a71845d81413eb01cbc289d69c92caa05260 | us_nj_med_exclusions | us-mednj-d38a0edf3c5171450a9b26b443dd4d2d5cbc46ea | ||||
Person:lastName | MATTERN | ext_us_cms_npi | us-npi-1669514253 | ||||
Person:middleName | MARIE | ext_us_cms_npi | us-npi-1669514253 | ||||
LegalEntity:name | MATTERN, JILL | eng | us_nj_med_exclusions | us-mednj-d38a0edf3c5171450a9b26b443dd4d2d5cbc46ea | |||
Person:name | JILL MARIE MATTERN | ext_us_cms_npi | us-npi-1669514253 | ||||
Person:npiCode | 1669514253 | ext_us_cms_npi | us-npi-1669514253 | ||||
LegalEntity:npiCode | 1669514253 | eng | us_nj_med_exclusions | us-mednj-d38a0edf3c5171450a9b26b443dd4d2d5cbc46ea | |||
LegalEntity:sector | MD | eng | us_nj_med_exclusions | us-mednj-d38a0edf3c5171450a9b26b443dd4d2d5cbc46ea | |||
Person:title | MS. | ext_us_cms_npi | us-npi-1669514253 | ||||
LegalEntity:topics | debarment | us_nj_med_exclusions | us-mednj-d38a0edf3c5171450a9b26b443dd4d2d5cbc46ea | ||||