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Canonical ID: NK-o38ZEcHbSZ33Dga6m5R67Z · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Skin Win Dermatology 1213 15th Ave W Suite 102 Williston, ND 58801 | eng | us_nd_med_exclusions | us-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368 | |||
Organization:address | 66 NIAGARA ST, DENVER, CO 802306711 | ext_us_cms_npi | us-npi-1992343198 | ||||
Organization:address | 1213 15TH AVE W STE 102, WILLISTON, ND 588013800 | ext_us_cms_npi | us-npi-1992343198 | ||||
LegalEntity:country | us | us_nd_med_exclusions | us-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368 | ||||
Organization:country | us | ext_us_cms_npi | us-npi-1992343198 | ||||
LegalEntity:description | Medicaid Provider ID: 1484138 | eng | us_nd_med_exclusions | us-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368 | |||
Organization:id | 42d269a0e464fba01976d7b5fdea750a08183e88 | ext_us_cms_npi | us-npi-1992343198 | ||||
LegalEntity:id | e7fcb9757ff68d0db7498f016319829db2d9a9a7 | us_nd_med_exclusions | us-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368 | ||||
Organization:name | SKIN WIN DERMATOLOGY PC | ext_us_cms_npi | us-npi-1992343198 | ||||
LegalEntity:name | Skin Win Dermatology | eng | us_nd_med_exclusions | us-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368 | |||
LegalEntity:npiCode | 1992343198 | eng | us_nd_med_exclusions | us-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368 | |||
Organization:npiCode | 1992343198 | ext_us_cms_npi | us-npi-1992343198 | ||||
LegalEntity:sector | Ambulatory Health Care Facility | eng | us_nd_med_exclusions | us-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368 | |||
LegalEntity:topics | debarment | us_nd_med_exclusions | us-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368 | ||||