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Canonical ID: NK-GMoa7tGMYe3AtfC5Penppg · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 16201 E INDIANA AVE, STE 3100, SPOKANE VALLEY, WA 992162830 | ext_us_cms_npi | us-npi-1376637421 | ||||
LegalEntity:country | us | us_co_med_exclusions | us-medco-a0fdc9dc1a5dab39885d59e0b953f85f02180c00 | ||||
Person:country | us | ext_us_cms_npi | us-npi-1376637421 | ||||
Person:firstName | TRACY | ext_us_cms_npi | us-npi-1376637421 | ||||
Person:id | a36f3fd4c86c954ed0bfe3101d78989d3341cd78 | ext_us_cms_npi | us-npi-1376637421 | ||||
LegalEntity:id | 439fb15bb25b350cdc1e062d9ae48af22139e652 | us_co_med_exclusions | us-medco-a0fdc9dc1a5dab39885d59e0b953f85f02180c00 | ||||
Person:lastName | BERG | ext_us_cms_npi | us-npi-1376637421 | ||||
Person:middleName | A | ext_us_cms_npi | us-npi-1376637421 | ||||
Person:name | TRACY A BERG | ext_us_cms_npi | us-npi-1376637421 | ||||
LegalEntity:name | Berg, Tracy | eng | us_co_med_exclusions | us-medco-a0fdc9dc1a5dab39885d59e0b953f85f02180c00 | |||
LegalEntity:npiCode | 1376637421 | eng | us_co_med_exclusions | us-medco-a0fdc9dc1a5dab39885d59e0b953f85f02180c00 | |||
Person:npiCode | 1376637421 | ext_us_cms_npi | us-npi-1376637421 | ||||
LegalEntity:topics | debarment | us_co_med_exclusions | us-medco-a0fdc9dc1a5dab39885d59e0b953f85f02180c00 | ||||