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Canonical ID: us-medks-78d6a6fc9b29de5c615949f2fb018856560834af · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_ks_med_exclusions | us-medks-78d6a6fc9b29de5c615949f2fb018856560834af | |||
LegalEntity:description | KMAP Provider Number 201416100A | eng | us_ks_med_exclusions | us-medks-78d6a6fc9b29de5c615949f2fb018856560834af | |||
LegalEntity:id | ecb22085ae4622fbbb7b34cd36bd3a69097b9cca | eng | us_ks_med_exclusions | us-medks-78d6a6fc9b29de5c615949f2fb018856560834af | |||
LegalEntity:name | Michael Adix | eng | us_ks_med_exclusions | us-medks-78d6a6fc9b29de5c615949f2fb018856560834af | |||
LegalEntity:npiCode | 1790709111 | eng | us_ks_med_exclusions | us-medks-78d6a6fc9b29de5c615949f2fb018856560834af | |||
LegalEntity:sector | Physician | eng | us_ks_med_exclusions | us-medks-78d6a6fc9b29de5c615949f2fb018856560834af | |||
LegalEntity:topics | debarment | eng | us_ks_med_exclusions | us-medks-78d6a6fc9b29de5c615949f2fb018856560834af | |||