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Canonical ID: NK-jiLDeogRQDnxM72zyYMWau · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 216 AVALON CIR STE A, BRANDON, MS 390477843 | ext_us_cms_npi | us-npi-1942210497 | ||||
LegalEntity:address | 1679 Old Fannin Road, Suite E Flowood, MS 39232 | eng | us_ms_med_exclusions | us-medms-c31f4f32df50539221d203d03d0c98957509e78b | |||
LegalEntity:country | us | us_ms_med_exclusions | us-medms-c31f4f32df50539221d203d03d0c98957509e78b | ||||
Person:country | us | ext_us_cms_npi | us-npi-1942210497 | ||||
Person:firstName | CHARLES | ext_us_cms_npi | us-npi-1942210497 | ||||
Person:id | 2c4f3171727e4d4f230b2236ac47cebb91d7ef1c | ext_us_cms_npi | us-npi-1942210497 | ||||
LegalEntity:id | 52a0faadead7d28cac54d9c633df8b20d024c46e | us_ms_med_exclusions | us-medms-c31f4f32df50539221d203d03d0c98957509e78b | ||||
Person:lastName | CRENSHAW | ext_us_cms_npi | us-npi-1942210497 | ||||
Person:middleName | N | ext_us_cms_npi | us-npi-1942210497 | ||||
LegalEntity:name | Crenshaw III, Charles N. | eng | us_ms_med_exclusions | us-medms-c31f4f32df50539221d203d03d0c98957509e78b | |||
Person:name | CHARLES N CRENSHAW | ext_us_cms_npi | us-npi-1942210497 | ||||
LegalEntity:npiCode | 1942210497 | eng | us_ms_med_exclusions | us-medms-c31f4f32df50539221d203d03d0c98957509e78b | |||
Person:npiCode | 1942210497 | ext_us_cms_npi | us-npi-1942210497 | ||||
LegalEntity:sector | Physician | eng | us_ms_med_exclusions | us-medms-c31f4f32df50539221d203d03d0c98957509e78b | |||
Person:title | DR. | ext_us_cms_npi | us-npi-1942210497 | ||||
LegalEntity:topics | debarment | us_ms_med_exclusions | us-medms-c31f4f32df50539221d203d03d0c98957509e78b | ||||