LASTNAME,FIRSTNAME,MIDNAME,BUSNAME,GENERAL,SPECIALTY,UPIN,NPI,DOB,ADDRESS,CITY,STATE,ZIP,EXCLTYPE,EXCLDATE,REINDATE,WAIVERDATE,WVRSTATE
"","","","GAMMA HEALTHCARE, INC","OTHER BUSINESS","LABORATORY","","1992166599","","1717 W MAUD STREET","POPLAR BLUFF","MO","63901","1128b7","20240325","00000000","00000000",""
"","","","GREATER BOSTON BEHAVIORAL HEAL","OTHER BUSINESS","CLINIC","","0000000000","","85 1ST AVENUE","WALTHAM","MA","02451","1128b1","20240520","00000000","00000000",""
"","","","HELPING OTHERS, LLC","OTHER BUSINESS","MENTAL/BEHAVIORAL HE","","1922642867","","3660 REMINGTON PARK DRIVE","RENO","NV","89512","1128a1","20240520","00000000","00000000",""
"","","","PHYSICIANS PRIMARY CARE, PLLC","PHYSICIAN PRACTICE (","FAMILY PRACTICE","","1033510664","","3922 S DUPONT SQUARE","LOUISVILLE","KY","40207","1128a1","20240520","00000000","00000000",""
"","","","VIZION ONE, INC","OTHER BUSINESS","HOME HEALTH AGENCY","","1801233218","","6161 BUSCH BLVD, STE 180","COLUMBUS","OH","43229","1128a1","20240520","00000000","00000000",""
"ABBOTT","SAMUEL","ANDERSON","","IND- LIC HC SERV PRO","COUNSELOR","","1568528610","19691120","16 CATHERINE STREET","PORTLAND","ME","04102","1128b4","20240520","00000000","00000000",""
"ADAMSON","WILLIAM","","","EMPLOYEE - PRIVATE S","LAB - CLINICAL","","0000000000","19820206","P O BOX 6001","ASHLAND","KY","41105","1128a3","20240520","00000000","00000000",""
"ADEPOJU","ADENIYI","","","IND- LIC HC SERV PRO","PHARMACIST","","0000000000","19590114","13721 MELVA DRIVE","WARREN","MI","48088","1128a4","20240520","00000000","00000000",""
"AKORE","AMANI","SERWA","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","20010411","2200 N HOMESTEAD AVENUE","SAINT PAUL","MN","55128","1128a1","20240520","00000000","00000000",""
"ALANIZ","MONIKA","EVETTE","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19891010","8283 NW 64TH STREET, STE 2","MIAMI","FL","33166","1128a1","20240520","00000000","00000000",""
"ALAZAR","SAMSON","","","IND- LIC HC SERV PRO","PHARMACIST","","0000000000","19671228","3422 ANDOVER TRACE LANE","MISSOURI CITY","TX","77459","1128a4","20240520","00000000","00000000",""
"AMEDOME","ENNA","","","IND- LIC HC SERV PRO","NURSE PRACTITIONER (","","1124511993","19860322","14992 BERRY BROOK DRIVE","CONROE","TX","77302","1128a4","20240520","00000000","00000000",""
"AMIRMOAZZAMI","SAM","","","IND- LIC HC SERV PRO","CHIROPRACTIC","","1760824262","19731211","1145 FISHER AVE","MANHATTAN BEACH","CA","90266","1128a3","20240520","00000000","00000000",""
"ANDERSON","NELLY","ELIJACH","","BUS OWNER/EXEC","HOME HEALTH AGENCY","","0000000000","19650622","GLEN RAY ROAD, BOX A","ALDERSON","WV","24910","1128a1","20240520","00000000","00000000",""
"ARISE","MARGARET","","","BUS OWNER/EXEC","HOME HEALTH AGENCY","","0000000000","19590331","500 HILBIG ROAD","CONROE","TX","77301","1128a1","20240520","00000000","00000000",""
"AUSIEJUS","RITA","","","BUS OWNER/EXEC","LABORATORY-IDTF","","0000000000","19580511","30 WINDMILL DRIVE","SUDBURY","MA","01776","1128a1","20240520","00000000","00000000",""
"AZIMOV","ROMAN","","","EMPLOYEE - PRIVATE S","MANAGEMENT SVCS CO","","0000000000","19740929","46 HOLLYWOOD AVENUE","LYNBROOK","NY","11563","1128a1","20240520","00000000","00000000",""
"BACKOS","ERIC","","","PHYSICIAN (MD, DO)","GENERAL PRACTICE","","1780625251","19521216","1233 WATER CLIFF DRIVE","BLOOMFIELD HILLS","MI","48302","1128a4","20240520","00000000","00000000",""
"BARNETT","LORI","MICHELLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19781013","P O BOX 7006","MARIANNA","FL","32447","1128a4","20240520","00000000","00000000",""
"BARR","DEBORAH","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1659487338","19620211","129 N VALLEY FORGE ROAD","DEVON","PA","19333","1128b4","20240520","00000000","00000000",""
"BEALL","LAWRENCE","DALTON","","IND- LIC HC SERV PRO","PSYCHOLOGY","","1790745768","19510728","9913 S EVENING MOON WAY","SANDY","UT","84070","1128b4","20240520","00000000","00000000",""
"BEKELE","ZELALEM","","","INDIVIDUAL (UNAFFILI","REPRESENTATIVE PAYEE","","0000000000","19730514","581 49TH AVENUE NE","MINNEAPOLIS","MN","55421","1128a1","20240520","00000000","00000000",""
"BELL","QUIANA","","","IND- LIC HC SERV PRO","COUNSELOR","","1780183517","19800224","GLEN RAY RD, BOX A","ALDERSON","WV","24910","1128a1","20240520","00000000","00000000",""
"BERMUDEZ","DAVID","KENNETH","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19880321","8693 PEDERNALES DRIVE","EL PASO","TX","79907","1128a1","20240520","00000000","00000000",""
"BERRY","KIMBERLEY","KAY","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19811225","236 W BRADY ST","BUTLER","PA","16001","1128a1","20240520","00000000","00000000",""
"BIDWELL","ASHLEY","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790611","904 FM 686","DAYTON","TX","77535","1128a2","20240520","00000000","00000000",""
"BIRD","DIEDRE","BLANCHE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19600916","636 SWEETBRIAR ROAD S","LAKE LURE","NC","28746","1128b4","20240520","00000000","00000000",""
"BLACKSMITH","LEYA","WHISPERING WIND","","EMPLOYEE - PRIVATE S","SKILLED NURSING FAC","","0000000000","19910303","749 FULLER AVE, APT 1","SAINT PAUL","MN","55104","1128a2","20240520","00000000","00000000",""
"BLAKE","RICHARD","III","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19681219","24 ROOSEVELT AVENUE,  APT 30","HUDSON","NH","03051","1128a1","20240520","00000000","00000000",""
"BOBMANUEL","SOKARI","MANUEL","","IND- LIC HC SERV PRO","PHARMACIST","","1457350704","19591216","9815 BESTIN LANE","HOUSTON","TX","77065","1128a4","20240520","00000000","00000000",""
"BORGES","JULISSA","A","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19710303","77 W 17TH STREET,  APT 1","BAYONNE","NJ","07002","1128a1","20240520","00000000","00000000",""
"BOYCE","THOMAS","JAMES II","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19740103","P O BOX 7000","TEXARKANA","TX","75505","1128a1","20240520","00000000","00000000",""
"BRANCH","KATRINA","","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19631104","2901 LAFAYETTE AVE, APT 1","HENRICO","VA","23228","1128a1","20240520","00000000","00000000",""
"BRITT","ALLISON","LEE","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19910712","1601 LOCUST RD, TRLR 53","MONTROSE","CO","81401","1128a2","20240520","00000000","00000000",""
"BROWN","ANTHONY","","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19920514","923 N EGYPT CIR","BROOKHAVEN","MS","39601","1128a2","20240520","00000000","00000000",""
"BROWN","DENEDRA","M","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19840425","891 SEIGLE POINT AVE, APT 101","CHARLOTTE","NC","28204","1128a1","20240520","00000000","00000000",""
"BROWN","SUMMER","NOEL","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19920903","616 NOTTINGHAM COVE","JACKSONVILLE","AR","72076","1128a3","20240520","00000000","00000000",""
"BUGG","TAIRA","PATRICE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19820715","7570 NW 10TH STREET, APT 4","OKLAHOMA CITY","OK","73127","1128a2","20240520","00000000","00000000",""
"BUI","BRIAN","CUONG","","IND- LIC HC SERV PRO","DENTIST","","1265619480","19800411","P O BOX 26020","BEAUMONT","TX","77720","1128b1","20240520","00000000","00000000",""
"BYREM","CATHERINE","","","IND- LIC HC SERV PRO","COUNSELOR","","1265826317","19670703","242 BRIDGE ST","VERNONIA","OR","97064","1128b4","20240520","00000000","00000000",""
"CABRERA","ALEIDA","DELPILAR","","BUS OWNER/EXEC","THERAPEUTIC BOARDING","","0000000000","19710606","2735 NAKINA COURT","ORLANDO","FL","32837","1128a1","20240520","00000000","00000000",""
"CARLTON","CAROL","ARNECIA","","IND- LIC HC SERV PRO","COUNSELOR","","1861780165","19591001","821 W 57TH ST","LOS ANGELES","CA","90037","1128a1","20240520","00000000","00000000",""
"CARVER","DANIEL","MICHAEL","","BUS OWNER/EXEC","LAB - CLINICAL","","0000000000","19860926","P O BOX 019120","MIAMI","FL","33101","1128a1","20240520","00000000","00000000",""
"CASABELLA LOPEZ","DAYANAIS","","","BUS OWNER/EXEC","COMM MNTL HLTH CNTR","","1760015648","19850907","19423 SW 115TH AVENUE","MIAMI","FL","33157","1128a1","20240520","00000000","00000000",""
"CEASE","WILLIAM","IRA JR","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19580730","2433 BRAZILIA DRIVE, APT 37","CLEARWATER","FL","33763","1128b4","20240520","00000000","00000000",""
"CHAND","SUNIL","GUPTA","","PHYSICIAN (MD, DO)","GENERAL PRACTICE","","1205800257","19640127","1031 E KARSCH BLVD","FARMINGTON","MO","63640","1128a3","20240520","00000000","00000000",""
"CHARF","DANELLE","LYNN","","IND- LIC HC SERV PRO","PHARMACIST","","1558595280","19740625","84640 524TH AVENUE","NELIGH","NE","68756","1128a1","20240520","00000000","00000000",""
"CHILSON","JANETTE","S","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19690804","123 JUDGE HERRICK STREET","ATHENS","PA","18810","1128b4","20240520","00000000","00000000",""
"CHOKBENGBOUN","THANOU","","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19670306","3469 SPANGLER ROAD","COLUMBUS","OH","43207","1128a1","20240520","00000000","00000000",""
"CHUKWUOCHA","NGOZI","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19811207","463 MORNING DEW LN","PRINCETON","TX","75407","1128b4","20240520","00000000","00000000",""
"COLON","ANNA","CELIA","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19890122","38 NORTH FOURTH STREET","ALLENTOWN","PA","18102","1128a1","20240520","00000000","00000000",""
"CONROY","MICHAEL","JOSEPH","","EMPLOYEE - PRIVATE S","LABORATORY","","0000000000","19790926","212 SHALLOWFORD ROAD","GREENVILLE","SC","29607","1128b7","20240325","00000000","00000000",""
"COOKE","ERICA","L","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19810427","20 MOUNT VERNON DR","CLAYMONT","DE","19703","1128a3","20240520","00000000","00000000",""
"COSTANZA","JASON","DEAN","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19751223","912 1/2 SOUTH ST","EL CAMPO","TX","77437","1128a3","20240520","00000000","00000000",""
"COURTHEYN","KENT","TAYLOR","","BUS OWNER/EXEC","MARKETING FIRM","","0000000000","19831014","80 LIGHTNING LANE","KENT","OH","44240","1128a3","20240520","00000000","00000000",""
"CROCKER","JESSE","ALLEN","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19890530","505 ORTON AVENUE, APT 305","FORT LAUDERDALE","FL","33304","1128b4","20240520","00000000","00000000",""
"CRUZ","CHRISTOPHER","PATRICK","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19740103","611 N HIGH STREET","UVALDE","TX","78801","1128a1","20240520","00000000","00000000",""
"CUPIT","NASIA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19791006","14437 SCOTTBURGH GLEN DR","WIMAUMA","FL","33598","1128b4","20240520","00000000","00000000",""
"DARIO","LORETA","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19610220","2271 SUMMERGATE DRIVE","TRACY","CA","95376","1128a1","20240520","00000000","00000000",""
"DARQUAH","JOSEPHINE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790414","500 ADAMS LN APT 10J","NORTH BRUNSWICK","NJ","08902","1128b4","20240520","00000000","00000000",""
"DAWO","AYNALEM","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19741021","581 49TH AVE N, APT E","MINNEAPOLIS","MN","55430","1128a1","20240520","00000000","00000000",""
"DELGADO RUIZ","ALMA","D","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19770925","P O BOX 1232","ANTHONY","NM","88021","1128a1","20240520","00000000","00000000",""
"DOANE","CORY","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19741202","2335 VANCE STREET","LAKEWOOD","CO","80214","1128b4","20240520","00000000","00000000",""
"DONOFRIO","STEVEN","","","BUS OWNER/EXEC","LAB - CLINICAL","","0000000000","19740504","45106 WINTER CREEK COURT","TEMECULA","CA","92592","1128a1","20240520","00000000","00000000",""
"DOUGLAS","IAN","ANTHONY","","EMPLOYEE - PRIVATE S","MANAGEMENT SVCS CO","","0000000000","19720910","13926 CHADSWORTH TERRACE","LAUREL","MD","20707","1128a1","20240520","00000000","00000000",""
"DOWER","ROBERT","LEE JR","","EMPLOYEE - PRIVATE S","REHAB FACILITY - GEN","","0000000000","19700722","P O BOX 8000","BRADFORD","PA","16701","1128a4","20240520","00000000","00000000",""
"DRINNEN","KIERA","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19850815","3912 W ANGEL COURT","WICHITA","KS","67217","1128a1","20240520","00000000","00000000",""
"EID","RENE","ABDALLAH","","IND- LIC HC SERV PRO","PHARMACIST","","1558430744","19680325","P O BOX 1000","CUMBERLAND","MD","21501","1128a1","20240520","00000000","00000000",""
"ELLIS","MICHAEL","ANN","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19611002","367-371 MARKET STREET","PATERSON","NJ","07501","1128a1","20240520","00000000","00000000",""
"ENRIQUEZ","JUAN","CARLOS","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19871112","421 N HELIO TROPE DRIVE, APT 2","LOS ANGELES","CA","90004","1128a1","20240520","00000000","00000000",""
"EVERS","MARTIN","LOUIS","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1366434110","19571217","ROUTE 37","DANBURY","CT","06811","1128a2","20240520","00000000","00000000",""
"FARMER","JOHN","EDGAR","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1699704908","19460712","15743 VALLEY AVENUE","BLUE RIDGE SUMMIT","PA","17214","1128b4","20240520","00000000","00000000",""
"FIGUEROA","CATALINA","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19590406","1158 ARNELLE CT","COLUMBUS","OH","43228","1128a1","20240520","00000000","00000000",""
"FRANKOWSKI","DEBORAH","LYNNE","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1770565293","19680323","8271 MELLON DR","CINCINNATI","OH","45242","1128b4","20240520","00000000","00000000",""
"GABEL","KIMBERLY","","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19740911","42344 FOREST OAKS DR","ELIZABETH","CO","80107","1128a3","20240520","00000000","00000000",""
"GARCIA","ISMAEL","J JR","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19650401","1761 RED CEDAR DRIVE, APT 23","FORT MYERS","FL","33907","1128a2","20240520","00000000","00000000",""
"GARIPOLI","RICHARD","LOUIS","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19770129","P O BOX 779800","MIAMI","FL","33177","1128a1","20240520","00000000","00000000",""
"GATES","CHARLES","","","EMPLOYEE - FEDERAL -","EMPLOYEE - GRADE UNK","","0000000000","19680826","770 MILL CREEK ROAD","LANCASTER","TX","75146","1128a3","20240520","00000000","00000000",""
"GAUTIER","FERNANDO","RAUL","","IND- LIC HC SERV PRO","SOCIAL WORKER","","0000000000","19840713","1005 GRANDEUR AVENUE","JACKSONVILLE","NC","28546","1128b4","20240520","00000000","00000000",""
"GAYEVSKIY","ANDREY","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19591206","7239 BROOKFALLS TER","BALTIMORE","MD","21209","1128a1","20240520","00000000","00000000",""
"GERASIMOV","LORENA","BARELLANO","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19780219","5701  8TH STREET - CAMP PARKS","DUBLIN","CA","94568","1128a1","20240520","00000000","00000000",""
"GIBEL","BORIS","","","BUS OWNER/EXEC","MARKETING FIRM","","0000000000","19760125","100 FLAGG PLACE","STATEN ISLAND","NY","10304","1128a1","20240520","00000000","00000000",""
"GINGERY","JOEL","THEODORE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1851520365","19650818","30 CHOCTAW TRAIL","ORMOND BEACH","FL","32174","1128b4","20240520","00000000","00000000",""
"GODSON","NGOZI","EZENWANYI","","BUS OWNER/EXEC","HOME HEALTH AGENCY","","0000000000","19720722","10502 FOUNTAIN LAKE DR, APT 42","STAFFORD","TX","77477","1128a1","20240520","00000000","00000000",""
"GOODMAN","TODD","ANDREW","","IND- LIC HC SERV PRO","PHARMACIST","","1750837258","19630401","P O BOX 2000","JOINT BASE MDL","NJ","08640","1128b3","20240520","00000000","00000000",""
"GRACE","KELIA","LATOYA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19791209","7607 NW 40TH COURT","CORAL SPRINGS","FL","33065","1128b4","20240520","00000000","00000000",""
"GRAWE","KATHARINE","ROXANNE","","PHYSICIAN (MD, DO)","PLASTIC SURGERY","","1801014238","19781230","8211 CAMPDEN LAKES BLVD","DUBLIN","OH","43016","1128b4","20240520","00000000","00000000",""
"GRAY","WILLIAM","PAUL","","EMPLOYEE - PRIVATE S","LABORATORY","","0000000000","19730629","P O BOX 1500","EL RENO","OK","73036","1128a3","20240520","00000000","00000000",""
"GUMP","JAMIE","L","","EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI","","0000000000","19841123","46803 3RD STREET","EAST LIVERPOOL","OH","43920","1128a3","20240520","00000000","00000000",""
"GUZMAN","YARY","A","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19771209","C22 CALLE ORQUIDEA","CAYEY","PR","00736","1128a1","20240520","00000000","00000000",""
"HAMADI","OMAR","HAMADI","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19950101","3204 HIGHLAND AVE, APT H","SAN DIEGO","CA","92105","1128a2","20240520","00000000","00000000",""
"HAMILTON","DEANNA","LEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19580521","1300 MCLAUGHLIN LANE","DAUPHIN","PA","17018","1128a2","20240520","00000000","00000000",""
"HARRIS","MONTREL","","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19740819","P O BOX 15330","FORT WORTH","TX","76119","1128a3","20240520","00000000","00000000",""
"HARRISON","SONITA","M","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19700211","1417 MISSOURI AVE","DELAWARE","OH","43015","1128a2","20240520","00000000","00000000",""
"HAWRYLAK","BRITT","","","EMPLOYEE - PRIVATE S","LABORATORY","","0000000000","19790206","4725 HARLEY AVENUE","FORT WORTH","TX","76107","1128a3","20240520","00000000","00000000",""
"HAWRYLAK","MATTHEW","","","EMPLOYEE - PRIVATE S","MARKETING FIRM","","0000000000","19750922","5600 COLLINWOOD AVENUE","FORT WORTH","TX","76107","1128a3","20240520","00000000","00000000",""
"HAZARD","LISA","","","IND- LIC HC SERV PRO","PHLEBOTOMY","","1215272042","19680713","5701 8TH STREET-CAMP PARKS","DUBLIN","CA","94568","1128a1","20240520","00000000","00000000",""
"HENNEMAN","DUANE","","","BUS OWNER/EXEC","MARKETING FIRM","","0000000000","19380813","6736 SOUTH 153RD CIRCLE","OMAHA","NE","68137","1128a1","20240520","00000000","00000000",""
"HENRY","CRAIG","","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1619011988","19570325","P O BOX 26020","BEAUMONT","TX","77720","1128a3","20240520","00000000","00000000",""
"HINES","MICHAELA","L","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19670715","2419 ASHWOOD COURT","JEFFERSONVILLE","IN","47130","1128a1","20240520","00000000","00000000",""
"HOBBS","THOMAS","G","","IND- LIC HC SERV PRO","CHIROPRACTIC","","1174647101","19570614","P O BOX 14500","LEXINGTON","KY","40512","1128a3","20240520","00000000","00000000",""
"HOLLOWAY","SHELLY","HICKS","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19570225","190 METHVEN LANE #195","RENO","TX","75462","1128a1","20240520","00000000","00000000",""
"HUNT","MONICA","","","BUS OWNER/EXEC","TRANSPORTATION CO","","0000000000","19780415","6720 WORTH AVENUE","SYLVANIA","OH","43560","1128a1","20240520","00000000","00000000",""
"IHEANACHO","OBIAGERIAKU","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870629","P O BOX 535","JESSUP","MD","20794","1128a2","20240520","00000000","00000000",""
"JABLONSKI","MARC","MANGAN","","BUS OWNER/EXEC","CONSULTING FIRM","","0000000000","19620524","4549 E JUANA COURT","CAVE CREEK","AZ","85331","1128a1","20240520","00000000","00000000",""
"JACKSON","ANITA","LOUISE","","PHYSICIAN (MD, DO)","OTORHINOLARYNGOLOGY","","1346286010","19610424","GLEN RAY ROAD  BOX A","ALDERSON","WV","24910","1128a1","20240520","00000000","00000000",""
"JACKSON","RENEE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740126","10550 SE 189TH TERRACE","OCKLAWAHA","FL","32179","1128b4","20240520","00000000","00000000",""
"JEAN-BAPTISTE","OLGA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19731128","1274 NOSTRANDE AVE","BROOKLYN","NY","11226","1128b4","20240520","00000000","00000000",""
"JEFFERSON","BETHANIEL","SHEBA","","IND- LIC HC SERV PRO","DENTIST","","1447240825","19770311","1710 CLAYTONS COVE COURT","SPRING","TX","77386","1128a2","20240520","00000000","00000000",""
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