LASTNAME,FIRSTNAME,MIDNAME,BUSNAME,GENERAL,SPECIALTY,UPIN,NPI,DOB,ADDRESS,CITY,STATE,ZIP,EXCLTYPE,EXCLDATE,REINDATE,WAIVERDATE,WVRSTATE
"ABARE","RICKY","JOHN","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19920129","4010 BOLTON VALLEY ACCESS ROAD","RICHMOND","VT","05477","1128b4","20240718","00000000","00000000",""
"ADEBANWO","JOSEPH","OLUWATOBI","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19960511","9241 OLD SCAGGSVILLE ROAD","LAUREL","MD","20723","1128a1","20240718","00000000","00000000",""
"ALEKSANDROV","DANIEL","DENIZOV","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19841019","589 S 3RD AVENUE","DEER TRAIL","CO","80105","1128b4","20240718","00000000","00000000",""
"ALSTON","JNAE","A","","EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI","","0000000000","19960502","6923 LACHLAN CIR","BALTIMORE","MD","21239","1128a2","20240718","00000000","00000000",""
"ARMSTRONG","NAKEBRA","SHANTEL","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19900903","210 BEN LOWERY ROAD","BERNICE","LA","71222","1128a1","20240718","00000000","00000000",""
"ASSENT","MERLIN","ANTONIO","","EMPLOYEE - PRIVATE S","MARKETING FIRM","","0000000000","19730406","232 FAIRFIELD DRIVE","SANFORD","FL","32771","1128a1","20240718","00000000","00000000",""
"BABB","EDWIN","EUGENE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19600222","733 FOUNTAIN STREET","SPRINGFIELD","CO","81073","1128b4","20240718","00000000","00000000",""
"BAUGHMAN","JEREMIAH","JAMES","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19870912","2815 S CALHAN HWY","CALHAN","CO","80808","1128b4","20240718","00000000","00000000",""
"BELL","JADA","SHANTELL","","IND- LIC HC SERV PRO","EMERGENCY MED TECH","","0000000000","19870427","3210 E 38TH AVENUE","TAMPA","FL","33610","1128b4","20240718","00000000","00000000",""
"BELL","SABRINA","MICHELLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19781219","2074 MIDYETTE ROAD, APT 1318","TALLAHASSEE","FL","32301","1128a3","20240718","00000000","00000000",""
"BENTLEY","MELINDA","ANN","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19650624","10606 BARRON CIRCLE","FIRESTONE","CO","80504","1128a1","20240718","00000000","00000000",""
"BERNARD","DIANA","ANNMARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19750306","10140 ROSE PETAL PLACE","RIVERVIEW","FL","33578","1128a3","20240718","00000000","00000000",""
"BILLIARD","ERIN","NICOLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19830407","325 SWOPE AVENUE","COLORADO SPRINGS","CO","80909","1128b4","20240718","00000000","00000000",""
"BLAND","JANELLE","ALANA","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","19940308","2000 E 12TH AVENUE, UNIT 5242","TAMPA","FL","33675","1128b4","20240718","00000000","00000000",""
"BOAHENE","RICHARD","SARFO","","IND- LIC HC SERV PRO","PHARMACIST","","1093379521","19820328","110 TREETOPS DRIVE","LANCASTER","PA","17601","1128a1","20240718","00000000","00000000",""
"BOSTWICK","MANDY","ELIZABETH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870506","P O BOX 540","ADAMS","MA","01220","1128b4","20240718","00000000","00000000",""
"BOWENS","MYOKA","MICHALE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19750428","418 WEST VIRGINIA STREET","TALLAHASSEE","FL","32301","1128a1","20240718","00000000","00000000",""
"BRACKETT","SHELLY","LEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19760224","114 CHESTNUT RIDGE DRIVE","WRIGHT CITY","MO","63390","1128a3","20240718","00000000","00000000",""
"BROMFIELD","LEROY","ALPHANSO","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19660217","2 DONALD CT","ELMONT","NY","11003","1128b4","20240718","00000000","00000000",""
"BROOKS","JEFFREY","D","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19840526","P O BOX 1031","COLEMAN","FL","33521","1128a1","20240718","00000000","00000000",""
"BROSIOUS","CHRIS","LEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19791215","3395 STATE ROUTE 890","SUNBURY","PA","17801","1128b4","20240718","00000000","00000000",""
"BROWER","JOSETTE","DENISE","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19751214","5906  N 12TH STREET, APT A","PHILADELPHIA","PA","19141","1128a1","20240718","00000000","00000000",""
"BROWN","LORETTA","FLORA","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1083855456","19530524","P O BOX 562","PHILADELPHIA","PA","19105","1128a4","20240718","00000000","00000000",""
"BUNN","BILLY","JASON","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19701204","1648 WOODCREST DRIVE, APT 1","DAYTONA BEACH","FL","32119","1128a2","20240718","00000000","00000000",""
"CABRERA","CARLOS","ALBERTO","","BUS OWNER/EXEC","SKILLED NURSING FAC","","0000000000","19691123","10650 SW 46TH STREET","JASPER","FL","32052","1128a1","20240718","00000000","00000000",""
"CAMPBELL","JEFFREY","ALAN SR","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1518063585","19581028","P O BOX 6001","ASHLAND","KY","41105","1128a1","20240718","00000000","00000000",""
"CAMPS GARCIA","MARIELA","","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19940113","3300 NW 87TH TERRACE","MIAMI","FL","33147","1128a1","20240718","00000000","00000000",""
"CARNEY","ABIGAIL","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19820205","1299 REUTLINGER AVENUE","LOUISVILLE","KY","40204","1128b4","20240718","00000000","00000000",""
"CHARLES","MELANIE","NICOLE","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19850621","3983 S LAKE PARK AVENUE, APT 4","CHICAGO","IL","60653","1128a1","20240718","00000000","00000000",""
"CHURCHILL","MICHAEL","CRAIG","","BUS OWNER/EXEC","MARKETING FIRM","","0000000000","19731017","350 MISTY GROVE LANE","SANFORD","FL","32771","1128a1","20240718","00000000","00000000",""
"CLINTON","DAVID","","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1306951645","19490301","39 ASHTON LANE","SOUTH HADLEY","MA","01075","1128a2","20240718","00000000","00000000",""
"COOTS","MEKISHA","ALMEDA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740318","359 CRAWFISH ROAD","MANCHESTER","KY","40962","1128b4","20240718","00000000","00000000",""
"COX","KACEY","KELLI","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19980127","110 VALLEY VIEW RIDGE","HAZARD","KY","41701","1128b4","20240718","00000000","00000000",""
"CURCIO","MISTI","DAWN","","IND- LIC HC SERV PRO","PHARMACIST","","1306219308","19801004","13683 WHISPERING LAKES LANE","PALM BEACH GARDENS","FL","33418","1128b4","20240718","00000000","00000000",""
"DELEON","NOEL","ILAGAN","","EMPLOYEE - PRIVATE S","PHYSICIAN PRACTICE (","","0000000000","19671223","110 MORGAN PLACE","NORTH ARLINGTON","NJ","07031","1128a4","20240718","00000000","00000000",""
"DROBISH","MICHAEL","R","","EMPLOYEE - PRIVATE S","MARKETING FIRM","","0000000000","19780407","P O BOX 1000","OTISVILLE","NY","10963","1128a3","20240718","00000000","00000000",""
"DUNTON","CATHERINE","SHANNON","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19680608","GLEN RAY ROAD, BOX A","ALDERSON","WV","24910","1128a2","20240718","00000000","00000000",""
"DURAN","ESTELA","ZEPIDA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19630823","7350 NEWTON STREET","WESTMINSTER","CO","80030","1128b4","20240718","00000000","00000000",""
"EDMONDS","STEPHANIE","TIFFANY","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19770606","810 N 65TH STREET,  1ST FL","PHILADELPHIA","PA","19151","1128a1","20240718","00000000","00000000",""
"EVANS","EMMA","M","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","20020703","223 KENDALL AVENUE, APT D","CAMPBELL","OH","44405","1128a1","20240718","00000000","00000000",""
"FELIPE","KAREL","","","EMPLOYEE - PRIVATE S","DME - GENERAL","","0000000000","19801203","P O BOX 3000","ANTHONY","NM","88021","1128a1","20240718","00000000","00000000",""
"FLUG","HARRIS","MICHAEL SR","","IND- LIC HC SERV PRO","SOCIAL WORKER","","1922164029","19581030","43 CEDAR VALLEY LANE","HUNTINGTON","NY","11743","1128b4","20240718","00000000","00000000",""
"FOURNIER","REBECCA","ANNE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19880424","36 ROSALIND ROAD","NORTH WEYMOUTH","MA","02191","1128b4","20240718","00000000","00000000",""
"FRANCOIS","ELIE","JEAN PHILLIPP","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19841023","4240 SAN MARINO BLVD, APT 206","WEST PALM BEACH","FL","33409","1128a4","20240718","00000000","00000000",""
"FRASIER","DAVIN","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19851218","640 DR MARY MCLEOD BETHUNE BOU","DAYTONA BEACH","FL","32114","1128a3","20240718","00000000","00000000",""
"FREEMAN","VALERIE","","","BUS OWNER/EXEC","MENTAL/BEHAVIORAL HE","","1194211128","19650311","932 PRIDGEN RD","SNOW HILL","NC","28580","1128a1","20240718","00000000","00000000",""
"GADSON","LEMAR","JOHNSON SR","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19630618","5254 BURTON STREET","PHILADELPHIA","PA","19124","1128a1","20240718","00000000","00000000",""
"GARCIA","GRACE","ELIZABETH","","EMPLOYEE - PRIVATE S","MARKETING FIRM","","0000000000","19911105","3314 CLUBSIDE DRIVE","LONGWOOD","FL","32779","1128a1","20240718","00000000","00000000",""
"GLOSCH","SANDRA","M.","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19730221","936 E MANHATTAN BLVD","TOLEDO","OH","43608","1128a2","20240718","00000000","00000000",""
"GONZALEZ","ALEXIS","MALI","","EMPLOYEE - PRIVATE S","MANAGEMENT SVCS CO","","0000000000","19980808","4890 ASHLEY LANE, APT 218","INVER GROVE HEIGHTS","MN","55077","1128a1","20240718","00000000","00000000",""
"GOSNEY","JOHN","PAUL JR","","BUS OWNER/EXEC","LAB - CLINICAL","","0000000000","19820506","P O BOX 1031","COLEMAN","FL","33521","1128a1","20240718","00000000","00000000",""
"GRIFFIN","MYRA","","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19660619","6700 GIBE LN","NORTH CHESTERFIELD","VA","23234","1128a1","20240718","00000000","00000000",""
"HALL","BECKY","DENISE","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","1457782815","19720106","1152 BEAVER ST, APT 2","BRISTOL","PA","19007","1128a1","20240718","00000000","00000000",""
"HALL","LISA","GAIL","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19611118","995 PENN ROAD","SCANDIA","KS","66966","1128a3","20240718","00000000","00000000",""
"HALSTEAD","STACEY","VAN JONES","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19780314","721 CANDLEWOOD DRIVE, APT 1","BEREA","KY","40403","1128b4","20240718","00000000","00000000",""
"HAWKINS","LINDA","","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19570315","14107 S GRACE AVENUE","ROBBINS","IL","60472","1128a1","20240718","00000000","00000000",""
"HENSLEY","KIMBERLY","DAWN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19701202","428 S 2ND STREET","STERLING","CO","80751","1128b4","20240718","00000000","00000000",""
"HERRON","MARQUITA","NICHOLE","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19870303","1908 LEVIN STREET","ALEXANDRIA","LA","71301","1128a2","20240718","00000000","00000000",""
"HICKS","BREEANA","","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19940309","328 PERSIMMON DR","ASH GROVE","MO","65604","1128a1","20240718","00000000","00000000",""
"HILL","HEAVEN","A","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","20010728","810 W CHARLES ST, APT 1","MUNCIE","IN","47305","1128a1","20240718","00000000","00000000",""
"HOLLAND","MESHA","DENISE","","BUS OWNER/EXEC","HOME HEALTH AGENCY","","0000000000","19800318","15433 JOST ESTATE DRIVE","FLORISSANT","MO","63034","1128a1","20240718","00000000","00000000",""
"HOLTZ","PATRICIA","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19580926","3 TIMBER LN","HOLYOKE","MA","01040","1128b4","20240718","00000000","00000000",""
"HORTON","LAKISHA","VANELL","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19880106","432 E HIGH STREET","PHILADELPHIA","PA","19144","1128a1","20240718","00000000","00000000",""
"HUNTER","JAMES","R III","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19880419","P O BOX 779800","MIAMI","FL","33177","1128a1","20240718","00000000","00000000",""
"ILLG","TAMMIE","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19750906","2106 35TH AVENUE","WHITTEMORE","IA","50598","1128a3","20240718","00000000","00000000",""
"INCOLLINGO","FRANCES","L","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19570429","2500 S ROCKPORT ROAD, APT 2106","BLOOMINGTON","IN","47403","1128a1","20240718","00000000","00000000",""
"ITANI","BASIL","SAMIR","","IND- LIC HC SERV PRO","PHARMACIST","","1588934012","19761211","P O BOX 1031","COLEMAN","FL","33521","1128a4","20240718","00000000","00000000",""
"JACKSON","AMEERA","MONIQUE","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","1578237178","19991011","3631 UNIVERSITY BLVD N, UNIT 4","JACKSONVILLE","FL","32277","1128a1","20240718","00000000","00000000",""
"JACKSON","COTEZS","","","BUS OWNER/EXEC","TRANSPORTATION CO","","0000000000","19970223","300 WENDELL CT, SW, #300","ATLANTA","GA","30336","1128a1","20240718","00000000","00000000",""
"JACKSON-VASQUEZ","SHERRI","","","IND- LIC HC SERV PRO","HEALTH CARE AIDE","","0000000000","19781224","1852 BAR HARBOR RD","COLUMBUS","OH","43219","1128a1","20240718","00000000","00000000",""
"JOHNS","POLLY","","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19580512","304 EAST THIRD STREET","HOBART","IN","46342","1128a1","20240718","00000000","00000000",""
"JOHNSTON","JOHN","JOSEPH","","IND- LIC HC SERV PRO","CHIROPRACTIC","","1871691071","19540107","3311 NW 18TH AVENUE, APT 18","GAINESVILLE","FL","32605","1128b4","20240718","00000000","00000000",""
"JOHNSTONE","KATIE","MARIE","","IND- LIC HC SERV PRO","PHARMACIST","","1023697919","19850131","106 NORTH STREET","FOXBORO","MA","02035","1128b4","20240718","00000000","00000000",""
"KEELING","SAMANTHA","NICOLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19900429","1832 DALE LANE","FISHERVILLE","KY","40023","1128b4","20240718","00000000","00000000",""
"KEMP","EDDIE","ALLEN","","IND- LIC HC SERV PRO","PARAMEDIC TECHNICIAN","","0000000000","19630923","201 ACME LANE","LYNN HAVEN","FL","32444","1128b4","20240718","00000000","00000000",""
"KHAN","CAROLINE","MARIA","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19680611","11042 SALERNES STREET","LAS VEGAS","NV","89141","1128a1","20240718","00000000","00000000",""
"KOTLYAR","VLADISLAV","","","BUS OWNER/EXEC","BILLING SERVICE CO","","0000000000","19790214","162 HEENAN AVENUE","STATEN ISLAND","NY","10312","1128a3","20240718","00000000","00000000",""
"LAZO","ADRIAN","","","EMPLOYEE - PRIVATE S","DME - GENERAL","","0000000000","19771025","P O BOX 1031","COLEMAN","FL","33521","1128a1","20240718","00000000","00000000",""
"LEON","EDUARDO","","","BUS OWNER/EXEC","PHARMACY","","0000000000","19720907","FCI OAKDALE II","OAKDALE","LA","71463","1128a1","20240718","00000000","00000000",""
"LOPEZ","ELISON","C","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19830318","P O BOX 51131","PHILADELPHIA","PA","19115","1128a1","20240718","00000000","00000000",""
"LOPEZ DE LA TORRE","LEONARD","MANUEL","","IND- LIC HC SERV PRO","THERAPIST","","1104474592","19701004","6400 HOBSON STREETT, NE","SAINT PETERSBURG","FL","33702","1128b4","20240718","00000000","00000000",""
"LU","CHEH","SHIUNG","","PHYSICIAN (MD, DO)","PAIN MANAGEMENT","","1144370057","19361213","3 W DORIS DR, #3","CHERRY HILL","NJ","08003","1128a4","20240718","00000000","00000000",""
"MAKKI","MAHMOUD","","","BUS OWNER/EXEC","TRANSPORTATION CO","","0000000000","19821201","8702 ROCKLAND ST","DEARBORN HEIGHTS","MI","48127","1128a1","20240718","00000000","00000000",""
"MAKKI","WANSA","NABIH","","BUS OWNER/EXEC","PHARMACY","","0000000000","19771020","621 RIDGEMONT AVE","DEARBORN","MI","48124","1128a1","20240718","00000000","00000000",""
"MALPICA","OMAR","ANTONIO","","IND- LIC HC SERV PRO","DENTIST","","1912174483","19410920","61 SW 94TH TER, UNIT 7","PLANTATION","FL","33324","1128b4","20240718","00000000","00000000",""
"MAPLE","JOSEPH","ALLEN","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19880730","622 BUCKS LAIR COURT","MOUNT  ZION","IL","62549","1128a1","20240718","00000000","00000000",""
"MARRERO","JOSE","ANTONIO JR","","IND- LIC HC SERV PRO","EMERGENCY MED TECH","","0000000000","19730918","1816 SUNSET POINT ROAD, APT N","CLEARWATER","FL","33765","1128b4","20240718","00000000","00000000",""
"MARSCHALL","RICHARD","A","","IND- LIC HC SERV PRO","NATUROPATHY","","1003962309","19520622","162 S BARR RD","PORT ANGELES","WA","98362","1128a3","20240718","00000000","00000000",""
"MARSHALL","TAYLOR","J","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","20000701","85 COUNTRY ELMS EST","GALESBURG","IL","61401","1128a1","20240718","00000000","00000000",""
"MARTIN","DEBORAH","ANNE","","IND- LIC HC SERV PRO","SOCIAL WORKER","","1083891626","19531116","2021 LAKE LINDA CIRCLE","LUTZ","FL","33558","1128b4","20240718","00000000","00000000",""
"MARTIN","SADE","D","","EMPLOYEE - PRIVATE S","INTER CARE FACILITY","","0000000000","19910825","3920 JEFFERSON ST","ALEXANDRIA","LA","71302","1128a2","20240718","00000000","00000000",""
"MASTRONARDI","MICHAEL","","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19740702","29 BLUEBERRY LN","SHELTON","CT","06484","1128a1","20240718","00000000","00000000",""
"MAUCH","LISA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840109","6241 WOOD SCHOOL RD","GALLIPOLIS FERRY","WV","25515","1128a3","20240718","00000000","00000000",""
"MCCLELLAN","APRIL","TILITIA","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19790426","732 MARKS ALY","PETERSBURG","VA","23803","1128a1","20240718","00000000","00000000",""
"MCDONALD","STEVEN","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19760429","177 ROYAL PALM DRIVE","LARGO","FL","33771","1128a1","20240718","00000000","00000000",""
"MCELHENY","ELIZABETH","S","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19930803","313 VOORHEESE ST","ROCKVILLE","IN","47872","1128a3","20240718","00000000","00000000",""
"MCKESSON","BROOKE","ANN","","IND- LIC HC SERV PRO","TECHNICIAN","","0000000000","19981123","9905 GREENWAY GARDEN CT,  APT","TAMPA","FL","33619","1128b4","20240718","00000000","00000000",""
"MCNAMARA","PATRICK","WAYNE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19721222","5 CONGRESS STREET","MORAVIA","NY","13118","1128b4","20240718","00000000","00000000",""
"MEADOWS","ROBERT","HARLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1174730170","19570507","8432 BOGART DRIVE","NORTH FORT MYERS","FL","33917","1128b4","20240718","00000000","00000000",""
"MEANS","SHIRLEY","JEAN","","EMPLOYEE - PRIVATE S","ADULT HOME","","0000000000","19740813","1010 WEXFORD STREET, APT 6D","BOYCE","LA","71409","1128a2","20240718","00000000","00000000",""
"MIKHAIL","AMGAD","SALIB SR","","IND- LIC HC SERV PRO","PHYSICAL THERAPY","","1235384363","19780301","37 CHESTNUT STREET APT 1","WESTBURY","NY","11590","1128a1","20240718","00000000","00000000",""
"MINNI","PATRICIA","T","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1659645745","19700315","1350 ATTRIDGE ROAD","CHURCHVILLE","NY","14428","1128b4","20240718","00000000","00000000",""
"MIZRACHY","MICHAEL","S","","PHYSICIAN (MD, DO)","PEDIATRICS","","1588742274","19710619","P O BOX 1031","COLEMAN","FL","33521","1128b4","20240718","00000000","00000000",""
"MOATS","LAURA","ELIZABETH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790519","1 CHAMPIONS COURT","FRISCO","TX","75034","1128b4","20240718","00000000","00000000",""
"MOORE","ANNABELLE","CHARLOTTE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19960821","2235 MORNING GLORY LN","CONWAY","AR","72034","1128a3","20240718","00000000","00000000",""
"MOZEB","SALEH","MOHAMED","","BUS OWNER/EXEC","TRANSPORTATION CO","","0000000000","19551105","615 BUSTI AVENUE","BUFFALO","NY","14213","1128a1","20240718","00000000","00000000",""
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