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MOUNTAINSIDE FAMILY PRACTICE L — OIG Excluded Provider (PIEDMONT, SD, 1128b8)

MOUNTAINSIDE FAMILY PRACTICE L — OIG Excluded Provider (PIEDMONT, SD, 1128b8) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MOUNTAINSIDE FAMILY PRACTICE L; Type: Entity; Provider category: CLINIC.

NameMOUNTAINSIDE FAMILY PRACTICE L
TypeEntity
Provider categoryCLINIC
CityPIEDMONT
StateSD
ZIP57769
Exclusion authority1128b8
Exclusion reasonEntities controlled by a sanctioned individual
Exclusion date2009-12-20
SourceHHS-OIG LEIE

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