Canonical ID: us-mednd-7599486e7b1f6822ddfb05d5a17f2de47e2c3e0a
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | 137 Prairie Wood Drive S #302 Fargo, ND 58103 | eng | us_nd_med_exclusions | us-mednd-7599486e7b1f6822ddfb05d5a17f2de47e2c3e0a | |||
LegalEntity:country | us | eng | us_nd_med_exclusions | us-mednd-7599486e7b1f6822ddfb05d5a17f2de47e2c3e0a | |||
LegalEntity:description | Medicaid Provider ID: 1483925 | eng | us_nd_med_exclusions | us-mednd-7599486e7b1f6822ddfb05d5a17f2de47e2c3e0a | |||
LegalEntity:id | 8ba4c11a7036b5431d20b9e4fe21221de2f1ff7f | eng | us_nd_med_exclusions | us-mednd-7599486e7b1f6822ddfb05d5a17f2de47e2c3e0a | |||
LegalEntity:name | Pryor, Christine | eng | us_nd_med_exclusions | us-mednd-7599486e7b1f6822ddfb05d5a17f2de47e2c3e0a | |||
LegalEntity:npiCode | 1275000184 | eng | us_nd_med_exclusions | us-mednd-7599486e7b1f6822ddfb05d5a17f2de47e2c3e0a | |||
LegalEntity:sector | N/A | eng | us_nd_med_exclusions | us-mednd-7599486e7b1f6822ddfb05d5a17f2de47e2c3e0a | |||
LegalEntity:topics | debarment | eng | us_nd_med_exclusions | us-mednd-7599486e7b1f6822ddfb05d5a17f2de47e2c3e0a |