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Canonical ID: NK-UyhVHjSoNHFGQJdTXcNNdp · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 13801 10TH AVE SE, BISMARCK, ND 585043827 | ext_us_cms_npi | us-npi-1568061018 | ||||
LegalEntity:address | 13801 10th Ave SE Bismarck, ND 58504 | eng | us_nd_med_exclusions | us-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269 | |||
Person:country | us | ext_us_cms_npi | us-npi-1568061018 | ||||
LegalEntity:country | us | us_nd_med_exclusions | us-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269 | ||||
LegalEntity:description | Medicaid Provider ID: 1451689 | eng | us_nd_med_exclusions | us-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269 | |||
Person:firstName | KEVIN | ext_us_cms_npi | us-npi-1568061018 | ||||
Person:id | 20474cdb964704d8f640f9cb8a692b6bcc4086d9 | ext_us_cms_npi | us-npi-1568061018 | ||||
LegalEntity:id | 44157404219e57c76d7c5e5b7d79d92a23ce6877 | us_nd_med_exclusions | us-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269 | ||||
Person:lastName | FORDERER | ext_us_cms_npi | us-npi-1568061018 | ||||
Person:middleName | RAY | ext_us_cms_npi | us-npi-1568061018 | ||||
LegalEntity:name | Forderer, Kevin | eng | us_nd_med_exclusions | us-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269 | |||
Person:name | KEVIN RAY FORDERER | ext_us_cms_npi | us-npi-1568061018 | ||||
LegalEntity:npiCode | 1568061018 | eng | us_nd_med_exclusions | us-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269 | |||
Person:npiCode | 1568061018 | ext_us_cms_npi | us-npi-1568061018 | ||||
LegalEntity:sector | Adult Foster Care/ Qualified Service Provider | eng | us_nd_med_exclusions | us-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269 | |||
LegalEntity:topics | debarment | us_nd_med_exclusions | us-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269 | ||||