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Canonical ID: us-medsc-bc9cce68a55a3c96d4693216f40f54dbc6030567 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Williamston, SC 29697 | eng | us_sc_med_exclusions | us-medsc-bc9cce68a55a3c96d4693216f40f54dbc6030567 | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-bc9cce68a55a3c96d4693216f40f54dbc6030567 | |||
LegalEntity:id | 65de7a772ffc5f5c92d7f138188078091de9beef | eng | us_sc_med_exclusions | us-medsc-bc9cce68a55a3c96d4693216f40f54dbc6030567 | |||
LegalEntity:name | Burnham, Kevin | eng | us_sc_med_exclusions | us-medsc-bc9cce68a55a3c96d4693216f40f54dbc6030567 | |||
LegalEntity:npiCode | 1992803043 | eng | us_sc_med_exclusions | us-medsc-bc9cce68a55a3c96d4693216f40f54dbc6030567 | |||
LegalEntity:sector | Ind-Lic HC Serv Prov - Physician Assistant | eng | us_sc_med_exclusions | us-medsc-bc9cce68a55a3c96d4693216f40f54dbc6030567 | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-bc9cce68a55a3c96d4693216f40f54dbc6030567 | |||