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Canonical ID: NK-dzLcwW7FT7APwHa8PVQqAX · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 616 DALE COURT WEST, RIVERVALE, NJ 07675 | eng | us_nj_med_exclusions | us-mednj-86f6bd45adc86bfa109d4c082bf8f47744810eb8 | |||
LegalEntity:addressEntity | addr-9b14d1ff8bf59a9bb9c775388057d75d99c106fb | eng | us_nj_med_exclusions | us-mednj-86f6bd45adc86bfa109d4c082bf8f47744810eb8 | |||
LegalEntity:country | us | eng | us_nj_med_exclusions | us-mednj-86f6bd45adc86bfa109d4c082bf8f47744810eb8 | |||
LegalEntity:id | 9441b9970168b1de4f519a7c59b2946bb6179e46 | eng | us_nj_med_exclusions | us-mednj-86f6bd45adc86bfa109d4c082bf8f47744810eb8 | |||
LegalEntity:name | MILLER, JUSTIN | eng | us_nj_med_exclusions | us-mednj-86f6bd45adc86bfa109d4c082bf8f47744810eb8 | |||
LegalEntity:npiCode | 1952594921 | eng | us_nj_med_exclusions | us-mednj-86f6bd45adc86bfa109d4c082bf8f47744810eb8 | |||
LegalEntity:sector | PSYCH | eng | us_nj_med_exclusions | us-mednj-86f6bd45adc86bfa109d4c082bf8f47744810eb8 | |||
LegalEntity:topics | debarment | eng | us_nj_med_exclusions | us-mednj-86f6bd45adc86bfa109d4c082bf8f47744810eb8 | |||