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VICTOR CRUZ BAUTISTA — OIG Excluded Provider (MIDWAY, GA, 1128a1)

VICTOR CRUZ BAUTISTA — OIG Excluded Provider (MIDWAY, GA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: VICTOR CRUZ BAUTISTA; Type: Individual; Provider category: MEDICAL PRACTICE, MD.

NameVICTOR CRUZ BAUTISTA
TypeIndividual
Provider categoryMEDICAL PRACTICE, MD
SpecialtyGENERAL PRACTICE
NPI1427081546
CityMIDWAY
StateGA
ZIP31320
Exclusion authority1128a1
Exclusion reasonConviction of program-related crimes
Exclusion date2008-01-20
SourceHHS-OIG LEIE

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