LASTNAME,FIRSTNAME,MIDNAME,BUSNAME,GENERAL,SPECIALTY,UPIN,NPI,DOB,ADDRESS,CITY,STATE,ZIP,EXCLTYPE,EXCLDATE,REINDATE,WAIVERDATE,WVRSTATE
"","","","DO DELIVERY, LLC","OTHER BUSINESS","MANAGEMENT SVCS CO","","0000000000","","1240 WINNOWING WAY UNIT 102","MOUNT PLEASANT","SC","29466","1128a1","20240820","00000000","00000000",""
"","","","LINDSAY CLARK, M D, MEDICAL CO","PHYSICIAN PRACTICE (","GENERAL PRACTICE","","0000000000","","215 N SAN MATEO DR, STE 1","SAN MATEO","CA","94401","1128a3","20240820","00000000","00000000",""
"","","","PAIN CENTER, LLC","OTHER BUSINESS","MANAGEMENT SVCS CO","","0000000000","","498 WANDO PARK BLVD","MOUNT PLEASANT","SC","29464","1128a1","20240820","00000000","00000000",""
"AAKER","DEBHANNA","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19820311","2006 OAK ST","GRAND FORKS","ND","58201","1128a1","20240820","00000000","00000000",""
"ADAMS","ELBERT","JEROME","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19820414","1601 S LEXINGTON DR","BOSSIER CITY","LA","71111","1128a1","20240820","00000000","00000000",""
"AFOLABI","LEAH","","","BUS OWNER/EXEC","PHARMACY","","0000000000","19740928","3018 MULLINGAR WALK","MISSOURI CITY","TX","77459","1128a1","20240820","00000000","00000000",""
"ALONSO MARTINEZ","NEREISY","","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19870819","30602 SW 194TH CT","HOMESTEAD","FL","33030","1128a1","20240820","00000000","00000000",""
"ALVES","CIMOYNE","","","BUS OWNER/EXEC","UNIVERSITY/COLLEGE","","0000000000","19710325","19 BRIDLE DRIVE","LINCOLN","RI","02865","1128a3","20240820","00000000","00000000",""
"ALZOUABI","SUAD","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19850212","1284 WINESAP DR","COLUMBUS","OH","43204","1128a1","20240820","00000000","00000000",""
"ANDREWS","NYESHA","D","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19950523","1612 HOLLY ST","LECOMPTE","LA","71346","1128a2","20240820","00000000","00000000",""
"AQUINO","CHRISTIAN","AGNO","","EMPLOYEE - PRIVATE S","DENTAL PRACTICE","","0000000000","19800805","7800 N SAM HOUSTON PARKWAY E,","HUMBLE","TX","77396","1128a3","20240820","00000000","00000000",""
"ARCHER","CHRISTINA","SUE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19801210","2811 EASTRIDGE STREET","CENTERVILLE","IA","52544","1128a1","20240820","00000000","00000000",""
"ARGYROS","DESPINA","MARIA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1790399541","19641005","20706 GASLIGHT DRIVE SUITE 120","CLINTON TOWNSHIP","MI","48036","1128b4","20240820","00000000","00000000",""
"ARTAN","AMINA","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19920510","10987 BREN RD E, UNIT B406","HOPKINS","MN","55343","1128a1","20240820","00000000","00000000",""
"ARTERBERRY","LASHAWA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19800623","143 TAMMY ST","ACKERMAN","MS","39735","1128a2","20240820","00000000","00000000",""
"ASSENT","ADRIAN","ALEXIS","","BUS OWNER/EXEC","MARKETING FIRM","","0000000000","19751017","P O BOX 1031","COLEMAN","FL","33521","1128a1","20240820","00000000","00000000",""
"ATIYAS","LIOR","A SR","","BUS OWNER/EXEC","TRANSPORTATION CO","","0000000000","19771213","136 LEFFERTS ROAD","WOODMERE","NY","11598","1128a1","20240820","00000000","00000000",""
"AUGUSTE","NADEGE","A","","BUS OWNER/EXEC","CONSULTING FIRM","","0000000000","19741025","P O BOX 019120","MIAMI","FL","33101","1128a3","20240820","00000000","00000000",""
"AUGUSTE","NADEGE","A","","BUS OWNER/EXEC","CONSULTING FIRM","","0000000000","19741025","P O BOX 019120","MIAMI","FL","33101","1128a3","20240820","00000000","00000000",""
"AYUK","CARINE","CAROLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19941019","10  EGYPT FARMS ROAD","OWINGS MILLS","MD","21117","1128b4","20240820","00000000","00000000",""
"BALL","KIRSTEN","VAN STEENBERG","","PHYSICIAN (MD, DO)","GENERAL PRACTICE","","1427240605","19541124","GLEN RAY RD, BOX A","ALDERSON","WV","24910","1128a4","20240820","00000000","00000000",""
"BAROT","PARAG","","","BUS OWNER/EXEC","HOME HEALTH AGENCY","","1477003523","19851208","P O BOX 1000","WHITE DEER","PA","17887","1128a1","20240820","00000000","00000000",""
"BARRETT","MELISSA","ROSE","","PHYSICIAN (MD, DO)","EMERGENCY MEDICINE","","1245329325","19740902","P O BOX 27137","FORT WORTH","TX","76127","1128b4","20240820","00000000","00000000",""
"BASTA","ZAKARY","","","IND- LIC HC SERV PRO","PHARMACIST","","1932380417","19720101","P O BOX 879","AYER","MA","01432","1128a1","20240820","00000000","00000000",""
"BAZZI","CHADI","","","BUS OWNER/EXEC","PHARMACY","","1578096947","19730604","P O BOX 1000","LEWISBURG","PA","17837","1128a1","20240820","00000000","00000000",""
"BEALL","REBECCA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19720409","3566 MOUNT PLEASANT ST, NE","CANTON","OH","44721","1128a3","20240820","00000000","00000000",""
"BEAMGARD","BIANCA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","20030111","106 N PIERCE ST","MOUNT AYR","IA","50854","1128a2","20240820","00000000","00000000",""
"BELL","AKEYLA","","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19820824","GLEN RAY RD, BOX A","ALDERSON","WV","24910","1128a4","20240820","00000000","00000000",""
"BELLARD","RONI","LEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19880811","1905 COS ST","LIBERTY","TX","77575","1128b4","20240820","00000000","00000000",""
"BENAVENTE","ANTHONY","DAVID","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19751204","16118 13TH AVENUE COURT E","TACOMA","WA","98445","1128b4","20240820","00000000","00000000",""
"BERCOSKY","HEATHER","MARIE","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19850829","2 MALLARD STREET","ALLENPORT","PA","15412","1128a2","20240820","00000000","00000000",""
"BERNADEL","RENE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740415","76 ECHO AVENUE","NEW ROCHELLE","NY","10801","1128a3","20240820","00000000","00000000",""
"BIGLER","BRIAN","C","","PHYSICIAN (MD, DO)","OPHTHALMOLOGY","","1770549164","19741025","845 W CHESTER PIKE, APT 7","WEST CHESTER","PA","19382","1128a4","20240820","00000000","00000000",""
"BIRD","BRYAN","KEITH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1922058791","19740305","4109 BUSINESS 17 E","BOLIVIA","NC","28422","1128a3","20240820","00000000","00000000",""
"BISHOP","DOUGLAS","SCOTT","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790213","9 MAY CT","PISCATAWAY","NJ","08854","1128b4","20240820","00000000","00000000",""
"BJARKE","CHRISTOPHER","BRENT","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1730237348","19610831","P O BOX 5000","SHERIDAN","OR","97378","1128a1","20240820","00000000","00000000",""
"BLOCHER","JENNIFER","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19830901","7007 W INDIAN SCHOOL RD, APT 1","PHOENIX","AZ","85033","1128b4","20240820","00000000","00000000",""
"BOWIE","MARCELL","D","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19880903","347 MERRILL AVENUE","CALUMET CITY","IL","60409","1128a1","20240820","00000000","00000000",""
"BOYANOSKI","BRANDON","LEWIS","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19780810","P O BOX 1000","LEWISBURG","PA","17837","1128a1","20240820","00000000","00000000",""
"BRITO ACOSTA","GRETER","","","IND- LIC HC SERV PRO","THERAPIST","","1922617679","19861003","30 W 56TH STREET","HIALEAH","FL","33012","1128a1","20240820","00000000","00000000",""
"BROHM","MICHAEL","","","BUS OWNER/EXEC","CLINIC","","0000000000","19570620","4221 RIVER BOTTOM DR","PEACHTREE CORNERS","GA","30092","1128a1","20240820","00000000","00000000",""
"BROOKS","LAUREN","COURTNEY","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19860527","94 COUNTY ROAD 389","MCCARLEY","MS","38943","1128a3","20240820","00000000","00000000",""
"BROOME","REBECCA","SUZANNE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870523","39 HELLERS CHURCH ROAD","LEOLA","PA","17540","1128a2","20240820","00000000","00000000",""
"BROWN","GERALD","","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19850425","109 MOTT DR","RAYMORE","MO","64083","1128a1","20240820","00000000","00000000",""
"BROWN","PORTIA","KALIA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1083369896","19870510","21430 NE 41ST STREET","WILLISTON","FL","32696","1128a3","20240820","00000000","00000000",""
"BUEHRING","DAKOTA","RENEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1518517291","19790416","208 S TEXANA STREET","HALLETTSVILLE","TX","77964","1128b4","20240820","00000000","00000000",""
"BURCHFIELD DUNN","TERRA","LYNETTE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19820711","1611 HIGHWAY 167 N 167","BRADFORD","AR","72020","1128b4","20240820","00000000","00000000",""
"BURGOS-MILLAN","JOSE","ANTONIO","","IND- LIC HC SERV PRO","DENTIST","","1467548990","19670523","106 CALLE 1","SAN JUAN","PR","00926","1128a1","20240820","00000000","00000000",""
"BURKS","CRISTINA","M","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1447422712","19771206","1810 W LORI LEE DRIVE","GALLATIN","TN","37066","1128b4","20240820","00000000","00000000",""
"BURR","DEEANA","","","IND- LIC HC SERV PRO","NURSE PRACTITIONER (","","1518319623","19681030","112 LOW TIDE CT","CHARLESTON","SC","29492","1128a1","20240820","00000000","00000000",""
"BURRELL","JANEICE","MINIQUE","","BUS OWNER/EXEC","CLINIC","","0000000000","19840712","GLEN RAY RD, BOX A","ALDERSON","WV","24910","1128a1","20240820","00000000","00000000",""
"BUTLER","ALEXIS","DORJAY","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19880203","P O BOX 4000","ALICEVILLE","AL","35442","1128a1","20240820","00000000","00000000",""
"CADET-MEDINA","FERLANDE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19670202","7465 NW 15TH ST","PLANTATION","FL","33313","1128b4","20240820","00000000","00000000",""
"CALISOFF","RANDY","LYLE","","PHYSICIAN (MD, DO)","PAIN MANAGEMENT","","1205920659","19770409","898 BREEZE DRIVE","LAKE VILLA","IL","60046","1128b4","20240820","00000000","00000000",""
"CARLIN","LUIS","GUILLERMO SR","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19680205","233 GRAND BLVD","LOVES PARK","IL","61111","1128b5","20240820","00000000","00000000",""
"CARTER","BETH","","","PHYSICIAN (MD, DO)","GENERAL PRACTICE","","1962529990","19630820","P O BOX 14500","LEXINGTON","KY","40512","1128a4","20240820","00000000","00000000",""
"CHACKER","JASON","ERIC","","IND- LIC HC SERV PRO","PHYSICIAN ASSISTANT","","1609058916","19830113","100 CAMPUS TOWN CIRCLE, APT 10","TRENTON","NJ","08638","1128a3","20240820","00000000","00000000",""
"CHAPLIN","ROBERTA","CARL","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19720531","1416 SOUTH 21ST STREET","PHILADELPHIA","PA","19146","1128a1","20240820","00000000","00000000",""
"CHOLAG","NOFAL","","","IND- LIC HC SERV PRO","PHARMACIST","","1407389570","19790208","P O BOX 1000","CRESSON","PA","16630","1128a1","20240820","00000000","00000000",""
"CIRIO","ARDEL","IGNACIO","","IND- LIC HC SERV PRO","CHIROPRACTIC","","1063550408","19590519","3131 MEETINGHOUSE ROAD, APT G2","UPPER CHICHESTER","PA","19061","1128a2","20240820","00000000","00000000",""
"CLICK","DAVID","DEAN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19531230","2644 NW 152ND ST","EDMOND","OK","73013","1128b4","20240820","00000000","00000000",""
"COCKRELL","DONNA","SUE","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19640219","1311 CENTRAL TEXAS EXPRESSWAY,","LAMPASAS","TX","76550","1128a1","20240820","00000000","00000000",""
"COHEN","SOPHIA","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19730227","233 MAIN STREET","WINTHROP","MA","02152","1128b4","20240820","00000000","00000000",""
"COHORN","CIERA","NICHOLE","","EMPLOYEE - PRIVATE S","SKILLED NURSING FAC","","0000000000","19980130","13920 TOWNSHIP ROAD 59","MOUNT PERRY","OH","43760","1128a3","20240820","00000000","00000000",""
"COLBY","JULIANE","L","","IND- LIC HC SERV PRO","SOCIAL WORKER","","1932437225","19770925","9910 W 52ND ST","SHAWNEE","KS","66203","1128a4","20240820","00000000","00000000",""
"COMPTON","CRYSTAL","KAY","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1053505479","19791006","P O BOX 27137","FORT WORTH","TX","76127","1128a4","20240820","00000000","00000000",""
"COOPER","SHANIQUA","","","EMPLOYEE - PRIVATE S","DENTAL PRACTICE","","0000000000","19900913","9465 CLEARWOOD DR, APT 233","HOUSTON","TX","77075","1128a1","20240820","00000000","00000000",""
"COULIBALY","ABRIA","J","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19960411","222 SPRING VALLEY ROAD","DARBY","PA","19023","1128a1","20240820","00000000","00000000",""
"CRACCHIOLO","ANTHONY","","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19791119","P O BOX 1031","COLEMAN","FL","33521","1128a1","20240820","00000000","00000000",""
"CROFT","MICHAEL","WILLIAM","","IND- LIC HC SERV PRO","TECHNICIAN","","1144300427","19700508","560 HOPE STREET, UNIT 25","MOUNTAIN VIEW","CA","94041","1128b4","20240820","00000000","00000000",""
"CROSLEY","YULIYA","VLADIMIROVNA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790320","211 RED FOX COURT, UNIT 102","BRADENTON","FL","34212","1128b4","20240820","00000000","00000000",""
"CROSS","EBONY","NIGWEDA","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19890507","7609 32ND AVENUE N, #122","MINNEAPOLIS","MN","55427","1128a1","20240820","00000000","00000000",""
"CROSS","HEIDI","JOHNNA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840509","2590 ANNIES PL","CASTLE ROCK","CO","80104","1128b4","20240820","00000000","00000000",""
"CRUM","TYLER","","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19951119","2555 N GLENSTONE AVE, APT 241","SPRINGFIELD","MO","65803","1128a1","20240820","00000000","00000000",""
"CUELLAR","JACQUELINE","TATIANA","","IND- LIC HC SERV PRO","NURSE PRACTITIONER (","","1659850501","19700830","P O BOX 5000","TALLAHASSEE","FL","32314","1128a4","20240820","00000000","00000000",""
"CUFFARI","CHRISTOPHER","","","EMPLOYEE - PRIVATE S","DRUG COMPANY/SUPLIER","","0000000000","19660408","P O BOX 1000","LEWISBURG","PA","17837","1128a3","20240820","00000000","00000000",""
"CUFFARI","JOHN","R","","EMPLOYEE - PRIVATE S","PHARMACY","","0000000000","19620520","P O BOX 1000","OTISVILLE","NY","10963","1128a3","20240820","00000000","00000000",""
"CUGINI","CHRISTY","DANIEL JR","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1447313283","19580318","5563 10TH STREET","MALONE","FL","32445","1128a4","20240820","00000000","00000000",""
"CUMMINGS","DOROTHY","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19721231","8209 QUEEN AVE N","MINNEAPOLIS","MN","55444","1128b4","20240820","00000000","00000000",""
"CUMMINGS","JESSICA","RENEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19900217","3227 ADRIAN AVENUE, APT 3","LARGO","FL","33774","1128a4","20240820","00000000","00000000",""
"DANDURAND","BENJAMIN","","","IND- LIC HC SERV PRO","PHARMACIST","","1366785354","19871109","P O BOX 700","YANKTON","SD","57078","1128a4","20240820","00000000","00000000",""
"DATTEL","FREDERICK","SCOTT","","PHYSICIAN (MD, DO)","GENERAL PRACTICE","","1912008525","19650926","11600 BROOKWOOD AVENUE","LEAWOOD","KS","66211","1128a1","20240820","00000000","00000000",""
"DAUL","KRISTINA","M","","IND- LIC HC SERV PRO","COUNSELOR","","1912390840","19790410","P O BOX 1947","FOND DU LAC","WI","54935","1128a2","20240820","00000000","00000000",""
"DAVIS","KARLIE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1003035924","19731212","172 FIELDPOINT RD","HEATH","OH","43056","1128a3","20240820","00000000","00000000",""
"DAVIS","SARAH","A","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740530","2819 WEST ST LOUIS AVENUE","VANDALIA","IL","62471","1128a3","20240820","00000000","00000000",""
"DAVIS-ALEMAN","TAMEKA","","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19820810","901 BLACKHAWK DRIVE","UNIVERSITY PARK","IL","60484","1128a1","20240820","00000000","00000000",""
"DAY","MANDEE","JO","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","19801009","2424 E 80 NORTH CIRCLE, APT 12","SAINT GEORGE","UT","84790","1128b4","20240820","00000000","00000000",""
"DEAN","ROBERT","KYLE","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1659418325","19680510","7418 S SPRINGFIELD PLACE LN","DENHAM SPRINGS","LA","70706","1128a1","20240820","00000000","00000000",""
"DECLOUET","MARK","DAMIEN JR","","IND- LIC HC SERV PRO","NURSE PRACTITIONER (","","1386925683","19810827","315 AUDUBON BLVD","LAFAYETTE","LA","70503","1128b4","20240820","00000000","00000000",""
"DEGIROLAMO","MATTHEW","","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1730102450","19540729","P O BOX 759","MINERSVILLE","PA","17954","1128a4","20240820","00000000","00000000",""
"DEJESUS","CARLOS","","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19810528","958 PROSPECT AVENUE, APT 3A","BRONX","NY","10459","1128a1","20240820","00000000","00000000",""
"DEPRIEST","BRITON","LEE","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","19910415","135 DIAMOND DRIVE","DAVISVILLE","WV","26142","1128b4","20240820","00000000","00000000",""
"DESALVO","VALERIE","","","BUS OWNER/EXEC","MARKETING FIRM","","0000000000","19650722","P O BOX 7006","MARIANNA","FL","32447","1128a1","20240820","00000000","00000000",""
"DEVLIN","JOHN","CALLANAN","","BUS OWNER/EXEC","SUBSTANCE ABUSE REHA","","0000000000","19870408","9621 OAK SUMMIT AVENUE","PARKVILLE","MD","21234","1128a3","20240820","00000000","00000000",""
"DIAZ","MIA","","","EMPLOYEE - PRIVATE S","DENTAL PRACTICE","","0000000000","19741215","P O BOX 7007","MARIANNA","FL","32447","1128a1","20240820","00000000","00000000",""
"DIGILORMO","DANA","JEANNINE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19690403","5313 SERENE HILL DR, APT 2102","AUSTIN","TX","78738","1128b4","20240820","00000000","00000000",""
"DILLHOFF","JAMI","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19780203","333 E 12TH ST","BROOKVILLE","IN","47012","1128a3","20240820","00000000","00000000",""
"DIXON","MICHELLE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870316","2326 W MALLON AVENUE, APT 1","SPOKANE","WA","99201","1128b4","20240820","00000000","00000000",""
"DIXON","TARIELLE","LAKEISHA","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","19870702","11956 WHITEHILL ST","DETROIT","MI","48224","1128a4","20240820","00000000","00000000",""
"DODSON","JAMES","MAURES","","IND- LIC HC SERV PRO","PSYCHOLOGY","","1508923129","19650726","1145 TEACHER DR","CLARKSVILLE","TN","37043","1128a1","20240820","00000000","00000000",""
"DONEGAN-LAWSON","JACALYN","","","IND- LIC HC SERV PRO","COUNSELOR","","1891284220","19540619","249 SHANK AVE","DAYTON","OH","45426","1128a1","20240820","00000000","00000000",""
"DOWD","ANDREW","J","","PHYSICIAN (MD, DO)","ORTHOPEDICS","","1205890910","19551030","3771 NESCONSET HIGHWAY, SUITE","SOUTH SETAUKET","NY","11720","1128a3","20240820","00000000","00000000",""
"DUARTE","JENNIFER","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790216","2537 N 148TH DRIVE","GOODYEAR","AZ","85395","1128b4","20240820","00000000","00000000",""
"DUCLE","RICO","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19690905","649 W ROCKLAND ST","PHILADELPHIA","PA","19120","1128b4","20240820","00000000","00000000",""
"DUKE","KANDICE","LENNAY","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19800726","6025 CLEVELAND CIRCLE, APR D","MERRILLVILLE","IN","46410","1128a4","20240820","00000000","00000000",""
"DYER","REGINALD","TRENT SR","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","1588226260","19670302","11721 S NEW HAMPSHIRE AVE, APT","LOS ANGELES","CA","90044","1128a1","20240820","00000000","00000000",""
"EDWARDS","MICHELLE","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19680609","12931 CRYSTAL COVE DRIVE","HOUSTON","TX","77044","1128b4","20240820","00000000","00000000",""
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"WALTON","STEPHANIE","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19720629","601 ANGLIN ST, UNIT A","SMILEY","TX","78159","1128b4","20240820","00000000","00000000",""
"WASHINGTON","CHERYL","ANN","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19581207","1531 CLEARVIEW STREET","PHILADELPHIA","PA","19141","1128a1","20240820","00000000","00000000",""
"WEATHERHEAD","DAVID","STUART","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19561020","1861 COUNTY ROAD B E, APT B","SAINT PAUL","MN","55109","1128a2","20240820","00000000","00000000",""
"WEINER","BRETT","","","BUS OWNER/EXEC","MARKETING FIRM","","0000000000","19620806","P O BOX 3949","PENSACOLA","FL","32516","1128a1","20240820","00000000","00000000",""
"WELCH","ANNETTE","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19650608","625 STARLET DR, APT A","FLORISSANT","MO","63031","1128a1","20240820","00000000","00000000",""
"WELLS","LAWRENCE","","","IND- LIC HC SERV PRO","CHIROPRACTIC","","1619016367","19770403","6581 GRACELY DR, APT REAR","CINCINNATI","OH","45233","1128a3","20240820","00000000","00000000",""
"WEST","CARL","A JR","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19530313","422 SE LOCUST ST","TOPEKA","KS","66607","1128a1","20240820","00000000","00000000",""
"WHITE","KHYA","","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19971101","109 N BRIGHTON DR","JACKSON","MS","39211","1128a2","20240820","00000000","00000000",""
"WHITENIGHT","AKEYA","LEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840925","545 LARCH ROAD","SUNBURY","PA","17801","1128b4","20240820","00000000","00000000",""
"WILBANKS","LESLIE","SUZANNE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790224","469 LA RIATA STREET","FARMINGTON","AR","72730","1128b4","20240820","00000000","00000000",""
"WILLIAMS","MARCUS","REY","","PHYSICIAN (MD, DO)","GENERAL PRACTICE","","1619057734","19580619","129 FLINTLOCK ROAD","KING OF PRUSSIA","PA","19406","1128a4","20240820","00000000","00000000",""
"WILLIAMSON","ROBYN","NICOLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19780520","6645 BLAKEMORE ST, APT A","PHILADELPHIA","PA","19119","1128b4","20240820","00000000","00000000",""
"WOLF","JONATHAN","JEREMY","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19860205","12168 SW 50TH ST","FORT LAUDERDALE","FL","33330","1128b4","20240820","00000000","00000000",""
"WOLLOH","WINIFRED","YONNONWAY","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19671127","11774 CROOKED LAKE BLVD NW","MINNEAPOLIS","MN","55433","1128a1","20240820","00000000","00000000",""
"WOODLEY","DEVONTE","JOSEPH","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19961203","2311 QUEEN AVE N, APT 2","MINNEAPOLIS","MN","55411","1128a1","20240820","00000000","00000000",""
"WOODS","SIERRA","D","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19860510","932 SUN VALLEY DRIVE","ANDERSON","IN","48016","1128a3","20240820","00000000","00000000",""
"WOOLLASTON","BENJAMIN","HALE","","IND- LIC HC SERV PRO","PHYSICIAN ASSISTANT","","1679988430","19910607","2107 12TH AVENUE","ALTOONA","PA","16601","1128b4","20240820","00000000","00000000",""
"WOZNICKI","KATHLEEN","ELLEN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19821216","390 N 1000 E","BOUNTIFUL","UT","84010","1128b4","20240820","00000000","00000000",""
"YEBES","CARL","STEPHEN GALEOS","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19931223","P O BOX 9000","SAFFORD","AZ","85548","1128b4","20240820","00000000","00000000",""
"YOON","CHANG","GOO","","IND- LIC HC SERV PRO","PHYSICAL THERAPY","","1538169552","19610701","P O BOX 759","MINERSVILLE","PA","17954","1128a3","20240820","00000000","00000000",""
"YOUNG","LAUREN","PAIGE","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19901006","3714 STEPHENS RD NE, APT 29","CLEVELAND","TN","37312","1128a1","20240820","00000000","00000000",""
"ZAFAR","KAMAL","","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19680410","P O BOX 759","MINERSVILLE","PA","17954","1128a1","20240820","00000000","00000000",""
"ZAPPALA","RICHARD","ANTHONY","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19720823","13 RIDGEWOOD COURT","NORTHFIELD","NJ","08225","1128a3","20240820","00000000","00000000",""
"ZINDA","NICHOLE","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840914","605 SCHLEY AVENUE, APT B","BUTTE","MT","59701","1128a4","20240820","00000000","00000000",""
"ZOUABI","GHUSON","T","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19770128","8405 WACO LN","POWELL","OH","43065","1128a1","20240820","00000000","00000000",""