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Canonical ID: us-medny-8dd2ac7c032bfc1cf027220bb6fb56b66c6aa905 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_ny_med_exclusions | us-medny-8dd2ac7c032bfc1cf027220bb6fb56b66c6aa905 | |||
LegalEntity:id | da57237dd55ff7d9d1e4a863a16087ccbfc6b8a4 | eng | us_ny_med_exclusions | us-medny-8dd2ac7c032bfc1cf027220bb6fb56b66c6aa905 | |||
LegalEntity:idNumber | 00036462 | eng | us_ny_med_exclusions | us-medny-8dd2ac7c032bfc1cf027220bb6fb56b66c6aa905 | |||
LegalEntity:name | KEVIN T CUSTIS MD PC | eng | us_ny_med_exclusions | us-medny-8dd2ac7c032bfc1cf027220bb6fb56b66c6aa905 | |||
LegalEntity:npiCode | 1376511881 | eng | us_ny_med_exclusions | us-medny-8dd2ac7c032bfc1cf027220bb6fb56b66c6aa905 | |||
LegalEntity:sector | Physician Practice | eng | us_ny_med_exclusions | us-medny-8dd2ac7c032bfc1cf027220bb6fb56b66c6aa905 | |||
LegalEntity:topics | debarment | eng | us_ny_med_exclusions | us-medny-8dd2ac7c032bfc1cf027220bb6fb56b66c6aa905 | |||