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Canonical ID: NK-dCiTNLjzxyag9okwF4UtFA · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Grand Forks, ND 58201 | eng | us_nd_med_exclusions | us-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb | |||
Person:address | 13801 10TH AVE SE, BISMARCK, ND 585043827 | ext_us_cms_npi | us-npi-1386246916 | ||||
LegalEntity:country | us | us_nd_med_exclusions | us-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb | ||||
Person:country | us | ext_us_cms_npi | us-npi-1386246916 | ||||
LegalEntity:description | Medicaid Provider ID: 1451691 | eng | us_nd_med_exclusions | us-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb | |||
Person:firstName | SUSAN | ext_us_cms_npi | us-npi-1386246916 | ||||
Person:id | de0b74990f733ad63d9a4e47d08a93e270bfbcf1 | ext_us_cms_npi | us-npi-1386246916 | ||||
LegalEntity:id | c26481604c6d0f71013f2a8c72d902027fa6ae42 | us_nd_med_exclusions | us-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb | ||||
Person:lastName | FORDERER | ext_us_cms_npi | us-npi-1386246916 | ||||
Person:middleName | M | ext_us_cms_npi | us-npi-1386246916 | ||||
LegalEntity:name | Forderer, Susan | eng | us_nd_med_exclusions | us-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb | |||
Person:name | SUSAN M FORDERER | ext_us_cms_npi | us-npi-1386246916 | ||||
LegalEntity:npiCode | 1386246916 | eng | us_nd_med_exclusions | us-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb | |||
Person:npiCode | 1386246916 | ext_us_cms_npi | us-npi-1386246916 | ||||
LegalEntity:sector | Adult Foster Care/ Qualified Service Provider | eng | us_nd_med_exclusions | us-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb | |||
LegalEntity:topics | debarment | us_nd_med_exclusions | us-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb | ||||