Statements: Shawn Willson

Canonical ID: NK-LeiS4cH95TrWrPVhjm9SWH · Entity type: LegalEntity (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`LegalEntity:address`	ASHEVILLE, NC 28806	eng	us_nc_med_exclusions	`us-mednc-4693b291cec9c945e8b7d39de8b7754c05bde6f7`	2024-11-29
`LegalEntity:country`	us	eng	us_ks_med_exclusions	`us-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c`	2024-12-20
`LegalEntity:country`	us	eng	us_nc_med_exclusions	`us-mednc-4693b291cec9c945e8b7d39de8b7754c05bde6f7`	2024-09-12
`LegalEntity:description`	KMAP Provider Number 200599170C	eng	us_ks_med_exclusions	`us-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c`	2024-12-20
`LegalEntity:id`	0c2b2d108a4d9b25893de103df7d62648b894026	eng	us_nc_med_exclusions	`us-mednc-4693b291cec9c945e8b7d39de8b7754c05bde6f7`	2024-11-29
`LegalEntity:id`	14b573f903735287ab75cb0e16e0c8879ada6b18	eng	us_ks_med_exclusions	`us-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c`	2024-12-20
`LegalEntity:name`	Shawn Willson	eng	us_ks_med_exclusions	`us-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c`	2024-12-20
`LegalEntity:name`	SHAWN WILLSON	eng	us_nc_med_exclusions	`us-mednc-4693b291cec9c945e8b7d39de8b7754c05bde6f7`	2024-09-12
`LegalEntity:npiCode`	1952502544	eng	us_ks_med_exclusions	`us-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c`	2024-12-20
`LegalEntity:npiCode`	1952502544	eng	us_nc_med_exclusions	`us-mednc-4693b291cec9c945e8b7d39de8b7754c05bde6f7`	2024-09-12
`LegalEntity:sector`	Physician	eng	us_ks_med_exclusions	`us-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c`	2024-12-20
`LegalEntity:topics`	debarment	eng	us_nc_med_exclusions	`us-mednc-4693b291cec9c945e8b7d39de8b7754c05bde6f7`	2024-09-12
`LegalEntity:topics`	debarment	eng	us_ks_med_exclusions	`us-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c`	2024-12-20

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