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Canonical ID: NK-dtpoBcYnRjPPotKCeyT2oT · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | PO BOX 2429, MURRELLS INLET, SC 295762429 | ext_us_cms_npi | us-npi-1013957331 | ||||
LegalEntity:address | Charlotte, NC 28204 | eng | us_sc_med_exclusions | us-medsc-f901f2cafad4e665710c6ec4aad9a7c69dca48f4 | |||
Person:address | 242A 9TH AVE DR NE, HICKORY, NC 28601 | ext_us_cms_npi | us-npi-1013957331 | ||||
LegalEntity:address | MOORESVILLE, NC 28117 | eng | us_nc_med_exclusions | us-mednc-e26bc0827345977dc8dbd3d32d161a538ef381b4 | |||
Person:country | us | ext_us_cms_npi | us-npi-1013957331 | ||||
LegalEntity:country | us | us_sc_med_exclusions | us-medsc-f901f2cafad4e665710c6ec4aad9a7c69dca48f4 | ||||
LegalEntity:country | us | us_nc_med_exclusions | us-mednc-e26bc0827345977dc8dbd3d32d161a538ef381b4 | ||||
Person:firstName | TRACY | ext_us_cms_npi | us-npi-1013957331 | ||||
LegalEntity:id | 84ecfd391a414cf2e8dbff59f3f0e0adf3f8b8f1 | us_sc_med_exclusions | us-medsc-f901f2cafad4e665710c6ec4aad9a7c69dca48f4 | ||||
Person:id | 5d363bc39591840e74872d6ccbc23099533e6ef9 | ext_us_cms_npi | us-npi-1013957331 | ||||
LegalEntity:id | 07d49a06a212b3f843cda71b8c39f6469bca045d | us_nc_med_exclusions | us-mednc-e26bc0827345977dc8dbd3d32d161a538ef381b4 | ||||
Person:lastName | ELLINGSON | ext_us_cms_npi | us-npi-1013957331 | ||||
Person:middleName | A. | ext_us_cms_npi | us-npi-1013957331 | ||||
LegalEntity:name | TRACY A. ELLINGSON | eng | us_nc_med_exclusions | us-mednc-e26bc0827345977dc8dbd3d32d161a538ef381b4 | |||
Person:name | TRACY A. ELLINGSON | ext_us_cms_npi | us-npi-1013957331 | ||||
LegalEntity:name | Ellingson, Tracy A. | eng | us_sc_med_exclusions | us-medsc-f901f2cafad4e665710c6ec4aad9a7c69dca48f4 | |||
LegalEntity:npiCode | 1013957331 | eng | us_nc_med_exclusions | us-mednc-e26bc0827345977dc8dbd3d32d161a538ef381b4 | |||
Person:npiCode | 1013957331 | ext_us_cms_npi | us-npi-1013957331 | ||||
LegalEntity:npiCode | 1013957331 | eng | us_sc_med_exclusions | us-medsc-f901f2cafad4e665710c6ec4aad9a7c69dca48f4 | |||
LegalEntity:sector | Ind-Lic HC Serv Prov - Nurse Anesthetist | eng | us_sc_med_exclusions | us-medsc-f901f2cafad4e665710c6ec4aad9a7c69dca48f4 | |||
LegalEntity:topics | debarment | us_sc_med_exclusions | us-medsc-f901f2cafad4e665710c6ec4aad9a7c69dca48f4 | ||||
LegalEntity:topics | debarment | us_nc_med_exclusions | us-mednc-e26bc0827345977dc8dbd3d32d161a538ef381b4 | ||||