LASTNAME,FIRSTNAME,MIDNAME,BUSNAME,GENERAL,SPECIALTY,UPIN,NPI,DOB,ADDRESS,CITY,STATE,ZIP,EXCLTYPE,EXCLDATE,REINDATE,WAIVERDATE,WVRSTATE
"","","","DEVOS, LTD","OTHER BUSINESS","DRUG COMPANY/SUPLIER","","0000000000","","100 COLIN DRIVE","HOLBROOK","NY","11741","1128a3","20240220","00000000","00000000",""
"","","","INDEPENDENCE HOME HEALTHCARE,","OTHER BUSINESS","HOME HEALTH AGENCY","","1003148149","","135 W WALNUT STREET","GARDENA","CA","90248","1128b7","20240108","00000000","00000000",""
"","","","TEXAS WELLNESS CLINIC","OTHER BUSINESS","CLINIC","","1063076651","","1833 RICHMOND PARKWAY","RICHMOND","TX","77469","1128b7","20231221","00000000","00000000",""
"","","","UNITED MEMORIAL MEDICAL CENTER","OTHER BUSINESS","HOSPITAL","","1891741468","","510 W TIDWELL ROAD","HOUSTON","TX","77091","1128b7","20231214","00000000","00000000",""
"ABOV","KAREEM","NASEEM","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19910717","5317 COLUMBIA ROAD, APT G","COLUMBIA","MD","21044","1128a1","20240220","00000000","00000000",""
"ADAMCZAK","PETER","ANDREW","","IND- LIC HC SERV PRO","CHIROPRACTIC","","1609075134","19570130","P O BOX 1000","OTISVILLE","NY","10963","1128a3","20240220","00000000","00000000",""
"ADEPOJU","SEMIU","BUKOLA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19950129","9001 S BRAESWOOD BLVD, APT 402","HOUSTON","TX","77074","1128b4","20240220","00000000","00000000",""
"AKINSANYA","OMOBOLANLE","OLAJUMOKE","","BUS OWNER/EXEC","HOME HEALTH AGENCY","","0000000000","19780815","16715 ELLIS AVE","SOUTH HOLLAND","IL","60473","1128a1","20240220","00000000","00000000",""
"ALAM","HAMID","M","","PHYSICIAN (MD, DO)","RADIOLOGY","","1285659649","19681130","25 SULLIVAN DRIVE, APT A66","JERICHO","NY","11753","1128a1","20240220","00000000","00000000",""
"ALLEN","TINA","MARIE","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19740723","61 PLESANT STREET, UNIT 1539","NEWBURYPORT","MA","01950","1128a1","20240220","00000000","00000000",""
"ALMANZA CAMACHO","CRISTINA","LIZETH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1437663002","19810528","2623 MONTEBELLO","SAN ANTONIO","TX","78259","1128b4","20240220","00000000","00000000",""
"ALMOND","SHERI","ANN","","INDIVIDUAL (UNAFFILI","REPRESENTATIVE PAYEE","","0000000000","19640107","1730 PEACHCREST DR","LAWRENCEVILLE","GA","30043","1128a1","20240220","00000000","00000000",""
"ALSTON","CHARLES","","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1699734426","19700723","4975 STARKS RD","CROSS PLAINS","TN","37049","1128a4","20240220","00000000","00000000",""
"ALVARADO","BRENDA","","","IND- LIC HC SERV PRO","COUNSELOR","","1669778486","19620117","142 GREAT CIRCLE ROAD","WEST HAVEN","CT","06516","1128b4","20240220","00000000","00000000",""
"ANDERSON","PATRICE","N","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19830417","338 WEST SEYMOUR STREET","PHILADELPHIA","PA","19144","1128a1","20240220","00000000","00000000",""
"AQUINO","OSCAR","ALFREDO","","IND- LIC HC SERV PRO","COUNSELOR","","1356567655","19550606","207 SOUTH CATALINA ST, APT 1","LOS ANGELES","CA","90004","1128b4","20240220","00000000","00000000",""
"BAILEY","CANDACE","KAY","","IND- LIC HC SERV PRO","SOCIAL WORKER","","1679589535","19680704","6505 W SAGUARO DRIVE","GLENDALE","AZ","85304","1128b4","20240220","00000000","00000000",""
"BALTAZAR","NERLINE","L","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19850930","1974 GARWOOD DRIVE","ORLANDO","FL","32822","1128b4","20240220","00000000","00000000",""
"BANKS","DIANE","","","BUS OWNER/EXEC","CLINIC","","0000000000","19470706","2626 CHARTWELL RD","COLUMBUS","OH","43220","1128a1","20240220","00000000","00000000",""
"BARBER","WESLEY","BLAKE","","BUS OWNER/EXEC","CLINIC","","0000000000","19700407","8105 PARSHALLVILLE ROAD","FENTON","MI","48430","1128a3","20240220","00000000","00000000",""
"BARNARD","MORRIS","M","","PHYSICIAN (MD, DO)","GASTROENTEROLOGY","","1285852095","19630602","P O BOX 1000","OTISVILLE","NY","10963","1128a1","20240220","00000000","00000000",""
"BARRETT","ANDREW","","","BUS OWNER/EXEC","PHARMACY","","1396976841","19590324","341 PLEASANT HILL DRIVE","NEW CITY","NY","10956","1128a1","20240220","00000000","00000000",""
"BATRUS","JENNIFER","AMY","","IND- LIC HC SERV PRO","PHYSICIAN ASSISTANT","","1235399510","19730511","126 LAKE VISTA DRIVE","ALTOONA","PA","16602","1128a1","20240220","00000000","00000000",""
"BEIDARI","IBRAHIM","TOURE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1740636596","19840618","239 REGENT RD","HARRISBURG","PA","17112","1128b4","20240220","00000000","00000000",""
"BELL","JAMES","CRAIG","","IND- LIC HC SERV PRO","PHARMACIST","","1730311077","19581017","P O BOX 340","SALTERS","SC","29590","1128a1","20240220","00000000","00000000",""
"BENTLEY","BRANDI","ELAINE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790703","P O BOX 62","BLOOMING GROVE","TX","76626","1128b4","20240220","00000000","00000000",""
"BERRI","YOUSSEF","ABBAS","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","19740428","2019 N MILDRED STREET","DEARBORN","MI","48128","1128a1","20240220","00000000","00000000",""
"BERRY","FRANK","ROBERT SR","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19580303","35M DAVIS STREET","TYNGSBORO","MA","01879","1128a1","20240220","00000000","00000000",""
"BERRY","PATRICIA","","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19610829","35M DAVIS STREET","TYNGSBORO","MA","01879","1128a1","20240220","00000000","00000000",""
"BINNS","MICHAELLA","ANTOINETTE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19771216","P O BOX 3301","SARASOTA","FL","34230","1128b4","20240220","00000000","00000000",""
"BIRD","ASHLEY","MARIE","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19830115","820 OLD NATIONAL PIKE","CLAYSVILLE","PA","15323","1128a1","20240220","00000000","00000000",""
"BISTRAIN","JOSEPH","JAY","","PHYSICIAN (MD, DO)","EMERGENCY MEDICINE","","1235177502","19701130","7675 PEBBLESTONE WAY","RENO","NV","89523","1128b4","20240220","00000000","00000000",""
"BLY","KYLA","JEAN","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19770407","3109 NE 26TH STREET, APT 402","LINCOLN CITY","OR","97367","1128a1","20240220","00000000","00000000",""
"BONNER","RENANDO","SHERARD","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","1972964351","19801102","1408 TECH FARM ROAD, APT B8","RUSTON","LA","71270","1128a1","20240220","00000000","00000000",""
"BOWERS","DEMIQUE","","","EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI","","0000000000","19910627","1942 KENTUCKY AVE, APT 9","CINCINNATI","OH","45223","1128a2","20240220","00000000","00000000",""
"BROCCOLI","CHRISTOPHER","S","","EMPLOYEE - PRIVATE S","PHARMACY","","0000000000","19711224","P O BOX 1000","LEWISBURG","PA","17837","1128a3","20240220","00000000","00000000",""
"BRUINS","WILLIAM","JR","","IND- LIC HC SERV PRO","HEALTH CARE AIDE","","0000000000","20030806","2409 DETROIT STREET","ALEXANDRIA","LA","71302","1128a2","20240220","00000000","00000000",""
"BRUNO","ANDREW","JOHN","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19890830","705 PARK AVENUE","WEST MIFFLIN","PA","15122","1128b4","20240220","00000000","00000000",""
"BUCK","MISTY","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19770817","1009 PRICE ST","TAYLOR","TX","76574","1128b4","20240220","00000000","00000000",""
"CANADA","KIMBERLY","DEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19590610","1717 N THOMPSON ST","CONROE","TX","77301","1128b4","20240220","00000000","00000000",""
"CANDELARIA","JESSICA","LYNN","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19880225","120 S ANN STREET","LANCASTER","PA","17602","1128a1","20240220","00000000","00000000",""
"CARTER","INDYA","MONAE","","EMPLOYEE - PRIVATE S","REHAB FACILITY - GEN","","0000000000","20020701","4114 LAWSON DR","ALEXANDRIA","LA","71302","1128a2","20240220","00000000","00000000",""
"CHAMBLEE","MARY","MARGARET","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19710221","11103 WICKWAY DRIVE","HOUSTON","TX","77024","1128a1","20240220","00000000","00000000",""
"CHERY","MARIE","JIMIMA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840108","225 W 3RD STREET, APT 206","LONG BEACH","CA","90802","1128b4","20240220","00000000","00000000",""
"CHESS","JEFFREY","SCOTT","","PHYSICIAN (MD, DO)","RADIOLOGY","","1073511929","19631211","1570 OLD CEDAR SWAMP ROAD","GLEN HEAD","NY","11545","1128a1","20240220","00000000","00000000",""
"CLARKE","IAN","P","","BUS OWNER/EXEC","CLINIC","","0000000000","19790821","P O BOX 6001","ASHLAND","KY","41105","1128a1","20240220","00000000","00000000",""
"CLARKSON","MARK","","","PHYSICIAN (MD, DO)","PAIN MANAGEMENT","","1508886987","19571015","2869 SENECA TRAIL SOUTH","PETERSTOWN","WV","24963","1128b3","20240220","00000000","00000000",""
"COACHI","DANIEL","PHILIPPE","","PHYSICIAN (MD, DO)","EMERGENCY MEDICINE","","1245222991","19621216","581 HAWTHORNE LANE","HARLEYSVILLE","PA","19438","1128a4","20240220","00000000","00000000",""
"COSTELLO","LLOYD","ALAN","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1922059831","19570220","31620 SILVER SPRUCE DRIVE","RUNNING SPRINGS","CA","92382","1128b6","20240119","00000000","00000000",""
"COWINS","KIMBLIN","ARNITA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19600320","75 SHADY LANE","HAMBURG","NJ","07419","1128b4","20240220","00000000","00000000",""
"DAVIS","MARGIE","L","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19630917","1348 E AIRDRIE ST","PHILADELPHIA","PA","19124","1128a1","20240220","00000000","00000000",""
"DEL ROSSI","PATRICIA","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19731003","1825 HIDEAWAY PL, APT 106","CORONA","CA","92881","1128b4","20240220","00000000","00000000",""
"DIAZ","PRUDENCIO","JAMES","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19510811","1212 E 25TH AVENUE, APT C","TAMPA","FL","33605","1128b4","20240220","00000000","00000000",""
"DINELL","ZACHARY","LEE","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19931208","P O BOX 33028","SAINT PETERSBURG","FL","33733","1128a2","20240220","00000000","00000000",""
"DOUGLAS","IAN","","","EMPLOYEE - PRIVATE S","DME - GENERAL","","0000000000","19720910","14 GAMEWELL LANE","WILLINGBORO","NJ","08046","1128a1","20240220","00000000","00000000",""
"DRUMMOND","MICHELLE","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19650321","4209 GUN AND ROD CLUB RD","HOUSTON","DE","19954","1128a1","20240220","00000000","00000000",""
"DUBRINSKAYA","YANA","A","","EMPLOYEE - PRIVATE S","PHARMACY","","0000000000","19880514","8411 21ST AVENUE, APT A5","BROOKLYN","NY","11214","1128a1","20240220","00000000","00000000",""
"DUKES","LORNA","ABIGAIL","","BUS OWNER/EXEC","HOME HEALTH AGENCY","","1508370917","19671212","7437  NW GREENSPRING STREET","PORT SAINT LUCIE","FL","34987","1128a1","20240220","00000000","00000000",""
"DURR","DARMILIA","","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","20020725","206 DAN GEORGE RD","MENDENHALL","MS","39114","1128a2","20240220","00000000","00000000",""
"DYER","LISA","MICHELLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1871883447","19700722","14155 DALLAS PARKWAY, APT 1463","DALLAS","TX","75254","1128b4","20240220","00000000","00000000",""
"EGERE","MARY","KIM","","BUS OWNER/EXEC","HOME HEALTH AGENCY","","0000000000","19740506","4501 MARIGOLD AVE N","MINNEAPOLIS","MN","55443","1128a1","20240220","00000000","00000000",""
"EICHHORN","WARREN","THOMAS II","","IND- LIC HC SERV PRO","CHIROPRACTIC","","1326412297","19850301","22 FALCOLN DRIVE","VINCENTOWN","NJ","08088","1128b4","20240220","00000000","00000000",""
"FAHIYE","AHMED","MOHAMUD","","EMPLOYEE - PRIVATE S","INTERPRETER/TRANS","","0000000000","19600201","4456 PARKLAWN CT, APT 306","MINNEAPOLIS","MN","55435","1128a1","20240220","00000000","00000000",""
"FAMULARI","TRACY","","","EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI","","0000000000","19800602","53 LINCOLN DRIVE, FLOOR 2","JOHNSTON","RI","02919","1128a3","20240220","00000000","00000000",""
"FARAH","ILYAS","ABDI","","EMPLOYEE - PRIVATE S","INTERPRETER/TRANS","","0000000000","19821027","3030 FRANCE AVE S, APT 230","MINNEAPOLIS","MN","55416","1128a1","20240220","00000000","00000000",""
"FLEENOR","ADAM","LEE","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19820324","19034 BENHAMS RD","BRISTOL","VA","24202","1128a1","20240220","00000000","00000000",""
"FLETCHER","ALBERT","LEE","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19651016","P O BOX 26","RONCO","PA","15476","1128a2","20240220","00000000","00000000",""
"FORTIN","TROY","","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19711127","497 SAWYER STREET, APT 2","NEW BEDFORD","MA","02746","1128a1","20240220","00000000","00000000",""
"FRAHER","DEBRA","BEHRENS","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1285135756","19550407","6444 COLORADO RD, UNIT 4","LUBBOCK","TX","79407","1128b4","20240220","00000000","00000000",""
"FRYER","MELINDA","MICHELLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19800606","3607 HIGHWAY 381","CARLISLE","AR","72024","1128b4","20240220","00000000","00000000",""
"GALDAMEZ","PEBBLES","DAWNYELL","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19761130","5903 ELLSWORTH ROAD","FORT SMITH","AR","72903","1128a1","20240220","00000000","00000000",""
"GIBSON","SHAUNA","","","IND- LIC HC SERV PRO","HEALTH CARE AIDE","","1902442221","19900524","34470 SCOTCH LN, APT 5","WILLOUGHBY","OH","44094","1128a1","20240220","00000000","00000000",""
"GIMENEZ ESCALANTE","FRANK","DAVID","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1841762820","19920730","2935 SW 60TH COURT","MIAMI","FL","33155","1128b4","20240220","00000000","00000000",""
"GORYUSHIN","OLEG","A","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19690414","7 STONEHENGE CIRCLE, APT 11","PIKESVILLE","MD","21208","1128a1","20240220","00000000","00000000",""
"GRAY","DURIEL","DONNELL","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1619170701","19790131","9 GREYWOOD LN SE","CARTERSVILLE","GA","30120","1128a1","20240220","00000000","00000000",""
"GREENE","NATHANIEL","JOSEPH JR","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19770509","1847 HART LANE","PHILADELPHIA","PA","19134","1128a1","20240220","00000000","00000000",""
"GUTGSELL","KRISTIE","ELIZABETH","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19761009","617 BOLEN AVENUE","HENDERSON","TN","38340","1128a4","20240220","00000000","00000000",""
"HADSON-TAYLOR","ALICE","MARIE","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19791116","43 FOREST GLEN DRIVE","IMPERIAL","PA","15126","1128a1","20240220","00000000","00000000",""
"HAGI","UBAH","HASSAN","","EMPLOYEE - PRIVATE S","INTERPRETER/TRANS","","0000000000","19780101","4137 MEADOWLARK PT","SAINT PAUL","MN","55122","1128a1","20240220","00000000","00000000",""
"HAIRE","KALICIA","","","IND- LIC HC SERV PRO","HEALTH CARE AIDE","","1255819256","19880401","931 YATES ST, APT A","TOLEDO","OH","43608","1128a1","20240220","00000000","00000000",""
"HALFORD","TODD","ELLIS","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19720225","1301 NEELYS BEND RD, APT K91","MADISON","TN","37115","1128b4","20240220","00000000","00000000",""
"HARE","KAREN","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19770810","800 EDGEVALE AVE","CUMBERLAND","MD","21502","1128a2","20240220","00000000","00000000",""
"HARRIS","ALEXIS","","","EMPLOYEE - PRIVATE S","REHAB FACILITY - GEN","","0000000000","19940105","1006 LYNDSEY DR","MCCOMB","MS","39648","1128a3","20240220","00000000","00000000",""
"HARRIS","TAMIKA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19850928","2032 MCKINLEY STREET, APT 2","PHILADELPHIA","PA","19149","1128b4","20240220","00000000","00000000",""
"HARRISON","ROBERT","SAMUEL","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19520107","P O BOX 460","BADIN","NC","28009","1128a2","20240220","00000000","00000000",""
"HARVEY","TALETHIA","","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19840928","927 WOODLAWN ST APT 101","MEMPHIS","TN","38107","1128a1","20240220","00000000","00000000",""
"HASHI","HODAN","ABDI","","EMPLOYEE - PRIVATE S","INTERPRETER/TRANS","","0000000000","19690101","3567 COMMONWEALTH RD","SAINT PAUL","MN","55125","1128a1","20240220","00000000","00000000",""
"HATMAN","SANDRA","ELLEN","","IND- LIC HC SERV PRO","NURSE PRACTITIONER (","","1881932606","19631230","2924 W CLIFFORD LN, LOT 3","YUMA","AZ","85364","1128b4","20240220","00000000","00000000",""
"HEARD","GELAIN","","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19680715","5201 WAYNE AVENUE, APT 2C","PHILADELPHIA","PA","19144","1128a1","20240220","00000000","00000000",""
"HEINECKE","TORBEN","SUHR","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","19960808","14348 LENORA PL N","SEATTLE","WA","98133","1128b4","20240220","00000000","00000000",""
"HENLEY","MERCY","DENISE","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19851127","420 RAILROAD AVENUE, TRLR 8","PATTERSON","LA","70392","1128a1","20240220","00000000","00000000",""
"HERNANDEZ-SANCHEZ","FLORITA","","","BUS OWNER/EXEC","DME - PROSTHETICS","","1396291910","19870720","P O BOX 345","BAYAMON","PR","00960","1128a1","20240220","00000000","00000000",""
"HERRON","SHANE","A","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","20030916","5587 REQUARTH RD","GREENVILLE","OH","45331","1128a2","20240220","00000000","00000000",""
"HOGAN","FRANSIENNA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19730326","30730 N LAKE DR","SEDALIA","MO","65301","1128b4","20240220","00000000","00000000",""
"HORNBUCKLE","JOHN","","","BUS OWNER/EXEC","LABORATORY-IDTF","","0000000000","19700101","P O BOX 1000, #96094-509","TALLADEGA","AL","35160","1128a1","20240220","00000000","00000000",""
"HOWARD","MELISSA","CAROL","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19730429","687 OAKLEY WEAVER ROAD","SCOTTSVILLE","KY","42164","1128a2","20240220","00000000","00000000",""
"ISKANDEROVA","SAYORA","","","BUS OWNER/EXEC","LABORATORY-IDTF","","0000000000","19750905","3370 NE 190TH STREET, APT 1409","MIAMI","FL","33180","1128a1","20240220","00000000","00000000",""
"JACKSON","CARLA","TENNIELL","","EMPLOYEE - PRIVATE S","TRANSPORTATION CO","","0000000000","19770216","123 CLYDE AVENUE","SYRACUSE","NY","13207","1128b7","20240112","00000000","00000000",""
"JACKSON","DARRYL","GLEN","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19850919","333 RAINBOW CACTUS DR","FORT WORTH","TX","76131","1128a1","20240220","00000000","00000000",""
"JACKSON","JAMES","OMAR","","EMPLOYEE - PRIVATE S","LABORATORY","","0000000000","19701019","600 STATION DRIVE","AVENEL","NJ","07001","1128a1","20240220","00000000","00000000",""
"JACKSON","WILLIAM","","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19810907","136 ALVERSON AVE","PROVIDENCE","RI","02909","1128a2","20240220","00000000","00000000",""
"JENKINS","SHERRY","ANN","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19640809","GLEN RAY RD, BOX A","ALDERSON","WV","24910","1128a1","20240220","00000000","00000000",""
"JIMENEZ HIDALGO","JOSE","D SR","","EMPLOYEE - PRIVATE S","TRANSPORTATION CO","","0000000000","19770926","1824 MCGRAW AVENUE, APT D","BRONX","NY","10472","1128a1","20240220","00000000","00000000",""
"JOHNSON","ALPHONSO","VASCO","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19620420","12842 TEE TIME WAY","RALEIGH","NC","27614","1128a1","20240220","00000000","00000000",""
"JOHNSON","BRANDY","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19780722","5218 SUNLIGHT HILL CT","SPRING","TX","77379","1128b4","20240220","00000000","00000000",""
"JOHNSON","TOMMIE","LEE SR","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19790613","11298 72ND AVE N","MAPLE GROVE","MN","55369","1128a1","20240220","00000000","00000000",""
"JONES","CALLIE","SUE","","IND- LIC HC SERV PRO","TECHNICIAN","","0000000000","19770927","731 WEST D STREET S","DIXON","CA","95620","1128b4","20240220","00000000","00000000",""
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