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Canonical ID: us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_de_med_exclusions | us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc | |||
LegalEntity:id | 9d4e8e0c596cd5e665f3606f023856cb7128eddf | eng | us_de_med_exclusions | us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc | |||
LegalEntity:idNumber | G-51438 | eng | us_de_med_exclusions | us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc | |||
LegalEntity:name | Andre Vergene Blaylock | eng | us_de_med_exclusions | us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc | |||
LegalEntity:npiCode | 1235287160 | eng | us_de_med_exclusions | us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc | |||
LegalEntity:registrationNumber | 00G514380 | eng | us_de_med_exclusions | us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc | |||
LegalEntity:topics | debarment | eng | us_de_med_exclusions | us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc | |||