Canonical ID: us-medsc-d4070abbdb4047f4234533118529cbbc24562ce6 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Little River, SC 29566 | eng | us_sc_med_exclusions | us-medsc-d4070abbdb4047f4234533118529cbbc24562ce6 | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-d4070abbdb4047f4234533118529cbbc24562ce6 | |||
LegalEntity:id | bfbf71cb13698f454dd8396d9ae7436c627f36bf | eng | us_sc_med_exclusions | us-medsc-d4070abbdb4047f4234533118529cbbc24562ce6 | |||
LegalEntity:name | Miner, Travis James | eng | us_sc_med_exclusions | us-medsc-d4070abbdb4047f4234533118529cbbc24562ce6 | |||
LegalEntity:npiCode | 1760916449 | eng | us_sc_med_exclusions | us-medsc-d4070abbdb4047f4234533118529cbbc24562ce6 | |||
LegalEntity:sector | Ind-Lic HC Serv Prov - Licensed Independent Social Worker | eng | us_sc_med_exclusions | us-medsc-d4070abbdb4047f4234533118529cbbc24562ce6 | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-d4070abbdb4047f4234533118529cbbc24562ce6 | |||