LASTNAME,FIRSTNAME,MIDNAME,BUSNAME,GENERAL,SPECIALTY,UPIN,NPI,DOB,ADDRESS,CITY,STATE,ZIP,EXCLTYPE,EXCLDATE,REINDATE,WAIVERDATE,WVRSTATE
"","","","ALASKA MEDICAL GROUP MANAGEMEN","OTHER BUSINESS","MANAGEMENT SVCS CO","","0000000000","","P O BOX 1803","KENAI","AK","99611","1128a1","20250619","00000000","00000000",""
"","","","HOPEFUL PROSPECT LLC","OTHER BUSINESS","MENTAL/BEHAVIORAL HE","","0000000000","","7213 W FLEETWOOD LANE","GLENDALE","AZ","85303","1128a1","20250619","00000000","00000000",""
"","","","L AND L INVESTMENTS, LLC","OTHER BUSINESS","COMM MNTL HLTH CNTR","","0000000000","","3498 E TERRACE AVENUE","GILBERT","AZ","85234","1128a1","20250619","00000000","00000000",""
"","","","LABORATORIO CLINICO SAN JUAN I","OTHER BUSINESS","CLINIC","","1255665261","","C-16 LIRIO","DORADO","PR","00646","1128a1","20250619","00000000","00000000",""
"","","","LGRB MANAGEMENT SERVICES, LLC","OTHER BUSINESS","MARKETING FIRM","","0000000000","","17115 SAN PEDRO AVENUE","SAN ANTONIO","TX","78232","1128b7","20250527","00000000","00000000",""
"","","","LOVING HEARTS HOMECARE LLC","OTHER BUSINESS","PERSONAL CARE PROVID","","1982006482","","440 MCKENZIE STREET","NEW ENGLAND","ND","58647","1128a2","20250619","00000000","00000000",""
"","","","R LYNN CARLSON, MD, PC","PHYSICIAN PRACTICE (","GENERAL PRACTICE","","1811135247","","P O BOX 240","KENAI","AK","99611","1128a1","20250619","00000000","00000000",""
"","","","WELLSPRING THERAPY SERVICES, L","OTHER BUSINESS","CLINIC","","1467841411","","2805 KLEIN COURT","CROFTON","MD","21114","1128a1","20250619","00000000","00000000",""
"ACOSTA PEREZ","JULIO","","","IND- LIC HC SERV PRO","THERAPIST","","1952942773","19820625","13750 SW 285TH TERRACE","HOMESTEAD","FL","33033","1128a3","20250619","00000000","00000000",""
"ALCANTARA","MARIA","CHRISTINE","","EMPLOYEE - PRIVATE S","SKILLED NURSING FAC","","0000000000","19710419","1021 ROUTE 166","TOMS RIVER","NJ","08753","1128a2","20250619","00000000","00000000",""
"ALVARADO","BLANCA","VANESSA","","EMPLOYEE - PRIVATE S","PHARMACY","","0000000000","19790313","83 PARK TERRACE WEST, APT 6A","NEW YORK","NY","10034","1128a1","20250619","00000000","00000000",""
"AMIRKHANYAN","ANUSH","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870411","1741 N AVON ST","BURBANK","CA","91505","1128b4","20250619","00000000","00000000",""
"ARACELY GOMEZ","GLADYS","","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19670222","18128 NW 63RD COURT","HIALEAH","FL","33015","1128a1","20250619","00000000","00000000",""
"ARCOTTA","KAREN","FRANCES","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1649269986","19530202","910 N COURT STREET","AU GRES","MI","48703","1128a4","20250619","00000000","00000000",""
"ARIAS","SAMANTHA","C","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19800521","4318 BLOOMDALE","SAN ANTONIO","TX","78218","1128b4","20250619","00000000","00000000",""
"ASI","DARWIN","PEREZ","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1922428473","19730117","2211 WOODMERE CIR","LA HABRA","CA","90631","1128b4","20250619","00000000","00000000",""
"AZIZ","JOHN","ADEL","","IND- LIC HC SERV PRO","PHARMACIST","","1487924726","19860109","470 PHEASANT DR","HAINES CITY","FL","33844","1128b4","20250619","00000000","00000000",""
"BAILEY","KIMBERLY","ANNMARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19701220","P O BOX 1952","OPELIKA","AL","36803","1128a4","20250619","00000000","00000000",""
"BAKER","RHONDA","JOINER","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19561010","15384 104TH STREET","LIVE OAK","FL","32060","1128b4","20250619","00000000","00000000",""
"BALLENER","LYN","JONSON","","IND- LIC HC SERV PRO","PHYSICAL THERAPY","","1710314984","19780815","29 ELEANOR PLACE","STATEN ISLAND","NY","10303","1128a3","20250619","00000000","00000000",""
"BANICH-HALL","JENNIFER","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19681229","1650 WILLOW WAY","WOODSTOCK","GA","30188","1128b4","20250619","00000000","00000000",""
"BARFIELD","VALERIE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19730317","123 JAKES LANDING ROAD, APT 11","LEXINGTON","SC","29072","1128a2","20250619","00000000","00000000",""
"BARRY","KELLY","ALMAMY","","EMPLOYEE - PRIVATE S","ADULT HOME","","0000000000","19980819","10306 BEAVER KNOLL DRIVE","UPPER MARLBORO","MD","20772","1128a2","20250619","00000000","00000000",""
"BENNETT","NATHAN","CHRISTOPHER","","IND- LIC HC SERV PRO","COUNSELOR","","1629676846","19880607","341 CHERRYWOOD GARDENS DR","MAITLAND","FL","32751","1128b4","20250619","00000000","00000000",""
"BERINHOUT","RANDALL","CHARLES","","PHYSICIAN (MD, DO)","PAIN MANAGEMENT","","1720031503","19550316","165 N PARK TRAIL, STE 1","STOCKBRIDGE","GA","30281","1128a1","20250619","00000000","00000000",""
"BERLESPSCH","REBECCA","SUSAN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19890411","697 S END ROAD, UNIT 2","PLANTSVILLE","CT","06479","1128b4","20250619","00000000","00000000",""
"BESEN","LEE","TERRY","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1770559213","19550920","P O BOX 3","WAVERLY","PA","18471","1128a1","20250619","00000000","00000000",""
"BETHI","LAKSHMI","","","IND- LIC HC SERV PRO","DENTIST","","1053669473","19760701","1402 SUMMER HILL DR","SOUTH WINDSOR","CT","06074","1128a1","20250619","00000000","00000000",""
"BETTON","NERISSA","ELIZABETH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19530625","1314 E LAS OLAS BLVD, APT 728","FORT LAUDERDALE","FL","33301","1128b4","20250619","00000000","00000000",""
"BEVERIDGE","STEPHANIE","DAWN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19810725","2000 EVERGREEN AVENUE","DES MOINES","IA","50320","1128b3","20250619","00000000","00000000",""
"BLOM","JOHN","HENRY","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19910104","8218 STONEY LN SW","BYRON CENTER","MI","49315","1128b4","20250619","00000000","00000000",""
"BONIADI","MONICA","","","IND- LIC HC SERV PRO","DENTIST","","1801064050","19701110","P O BOX 3725","ADELANTO","CA","92301","1128a3","20250619","00000000","00000000",""
"BRADFORD-SMITH","MICHELLE","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19830723","1341 GAY STREET","HUNTINGTON","IN","46750","1128a1","20250619","00000000","00000000",""
"BRASHEAR-STRAIN","VERONICA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740705","1410 GINGERWOOD COURT","CLARKSVILLE","IN","47129","1128a4","20250619","00000000","00000000",""
"BYRNS","DAVID","LANE","","BUS OWNER/EXEC","HOSPITAL","","0000000000","19570919","6404 NW 43RD TER","POMPANO BEACH","FL","33073","1128a3","20250619","00000000","00000000",""
"CADE","PAMELA","SUSAN","","IND- LIC HC SERV PRO","COUNSELOR","","1285678219","19631117","1070 BELLA VISTA BLVD, APT 126","SAINT AUGUSTINE","FL","32084","1128b4","20250619","00000000","00000000",""
"CALL","RICHARD","ALLEN","","IND- LIC HC SERV PRO","PHYSICIAN ASSISTANT","","1760424972","19600703","1655 POPPY LANE","SAGINAW","MI","48609","1128a1","20250619","00000000","00000000",""
"CARLSON","RAY","LYNN","","PHYSICIAN (MD, DO)","EMERGENCY MEDICINE","","1114077468","19540120","2743 W PEAK CLOUD LN, UNIT A41","MERIDIAN","ID","83642","1128a1","20250619","00000000","00000000",""
"CARTER","SENETTA","WILSON","","BUS OWNER/EXEC","COMM MNTL HLTH CNTR","","0000000000","19620118","7788 EMBASSY BLVD","HOLLYWOOD","FL","33023","1128a1","20250619","00000000","00000000",""
"CATE","MARCIE","RENEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740823","448 CANDLEWOOD LN","PRESCOTT","AZ","86301","1128b4","20250619","00000000","00000000",""
"CHEN","JIAN","AI","","BUS OWNER/EXEC","PHARMACY","","0000000000","19740811","P O BOX 27137","NAVAL AIR STATION JR","TX","76127","1128a1","20250619","00000000","00000000",""
"CHERY","MARIE","EDLY","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1063805570","19651118","735 DULLES AVE, APT 1015","STAFFORD","TX","77477","1128b4","20250619","00000000","00000000",""
"CHETKOWSKI","RYSZARD","JERZY","","PHYSICIAN (MD, DO)","GYN/OBS","","1992883011","19480326","519 SPOTTED OWL CT","WALNUT CREEK","CA","94595","1128b4","20250619","00000000","00000000",""
"CISNEROS CEBRIAN","ROBERTO","","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19700903","P O BOX 5010","OAKDALE","LA","71463","1128a1","20250619","00000000","00000000",""
"COHANSHOHET","KAMYAR","","","PHYSICIAN (MD, DO)","PAIN MANAGEMENT","","1437149242","19750916","350 S MCCARTY DR, APT 3","BEVERLY HILLS","CA","90212","1128b4","20250619","00000000","00000000",""
"COLEMAN","ALICIA","J","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19740917","6063 WISTER ST","PHILADELPHIA","PA","19138","1128a1","20250619","00000000","00000000",""
"COLLINS","STEPHANIE","SUE","","IND- LIC HC SERV PRO","PHARMACIST","","0000000000","19670527","P O BOX 27137","FORT WORTH","TX","76127","1128a1","20250619","00000000","00000000",""
"COMPTON","LISA","","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19760324","912 KENT AVE","CATONSVILLE","MD","21228","1128a4","20250619","00000000","00000000",""
"CONDE MONTEIRO","MICHELLE","ALEJANDRA","","EMPLOYEE - PRIVATE S","TRANSPORTATION CO","","0000000000","19940823","790 NE 128TH STREET, APT 403","MIAMI","FL","33161","1128a1","20250619","00000000","00000000",""
"COOPER","TAMEIA","RACHELL","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19780813","5123 HAWAIIAN TER, APT 9","CINCINNATI","OH","45223","1128a1","20250619","00000000","00000000",""
"COSENTINO","MARIA","P","","IND- LIC HC SERV PRO","SOCIAL WORKER","","1215257951","19630516","P O BOX 27137","FORT WORTH","TX","76127","1128a3","20250619","00000000","00000000",""
"CRAFT","GULONG","LIVORCE","","EMPLOYEE - PRIVATE S","TRANSPORTATION CO","","0000000000","19670201","9516 HOLTON CT","FOUNTAIN","CO","80817","1128a1","20250619","00000000","00000000",""
"CROSSETT","CLAY","DUNCAN","","IND- LIC HC SERV PRO","DENTIST","","1417981366","19610313","1921 MOUNT KILIAK CIR","EAGLE RIVER","AK","99577","1128a1","20250619","00000000","00000000",""
"DATU TAHIL","HENLER","BOBIAS","","IND- LIC HC SERV PRO","PHYSICAL THERAPY","","1518204072","19830920","1912 LENOX AVENUE","EAST MEADOW","NY","11554","1128a1","20250619","00000000","00000000",""
"DAVIS","DIOSEL","WAGAS","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840518","2926 5TH AVENUE","GULFPORT","MS","39501","1128a2","20250619","00000000","00000000",""
"DEJESUS-DURBIN","VIVIAN","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19680108","2418 MALABAR LAKES DRIVE, NE","PALM BAY","FL","32905","1128a3","20250619","00000000","00000000",""
"DEVUONO","JULIE","EVE","","IND- LIC HC SERV PRO","NURSE PRACTITIONER (","","1285852137","19720728","47 BOURDETTE PLACE","AMITYVILLE","NY","11701","1128a3","20250619","00000000","00000000",""
"DO","HIEU","TRONG","","IND- LIC HC SERV PRO","OPTOMETRY","","1437107406","19740620","411 OGDEN TRAIL","SUGAR LAND","TX","77479","1128a1","20250619","00000000","00000000",""
"DULZAIDES ORTEGA","JUAN","CARLOS","","EMPLOYEE - PRIVATE S","AMBULANCE COMPANY","","0000000000","19671105","10023 BELLE RIVE BLVD, APT 112","JACKSONVILLE","FL","32256","1128a1","20250619","00000000","00000000",""
"DUTZY","REBECCA","SUSANNE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19480303","5555 HOLLY RIDGE DR","CAMARILLO","CA","93012","1128b4","20250619","00000000","00000000",""
"EAGLIN","KIMBERLY","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19891024","400 PATTERSON AVENUE","COMANCHE","OK","73529","1128a2","20250619","00000000","00000000",""
"EAGLIN","SHELLY","NICHOLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19851210","400 PATTERSON AVENUE","COMANCHE","OK","73529","1128a2","20250619","00000000","00000000",""
"EMEANA","CHI CHI","","","IND- LIC HC SERV PRO","COUNSELOR","","1922292952","19791015","1627 S MICHELLE STREET","WICHITA","KS","67207","1128a1","20250619","00000000","00000000",""
"FABOZZI","KRYSTLE","M","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19860129","124 SYLVAN AVENUE, UNIT 7","NEW HAVEN","CT","06519","1128b4","20250619","00000000","00000000",""
"FADHEL","ARKAN","MAGID","","BUS OWNER/EXEC","TRANSPORTATION CO","","0000000000","19940710","29 FREDRO STREET","BUFFALO","NY","14206","1128a1","20250619","00000000","00000000",""
"FAIR","LORITA","","","EMPLOYEE - PRIVATE S","HOSPITAL","","0000000000","19710414","2139 PAVILLION CT","ROCK HILL","SC","29732","1128a3","20250619","00000000","00000000",""
"FASONU","AYODEJI","D","","EMPLOYEE - PRIVATE S","DME - GENERAL","","0000000000","19660618","70 RUSLING PLACE","BRIDGEPORT","CT","06604","1128a1","20250619","00000000","00000000",""
"FERNANDEZ","NUNO","BAPTISTA","","EMPLOYEE - PRIVATE S","PHYSICIAN PRACTICE (","","0000000000","19820715","554 EDER AVENUE","WYCKOFF","NJ","07481","1128a3","20250619","00000000","00000000",""
"FIGUEROA","PUNSON","K","","IND- LIC HC SERV PRO","ACUPUNCTURIST","","1255798104","19660916","ROUTE 37","DANBURY","CT","06811","1128a3","20250619","00000000","00000000",""
"FLORES","MARITZA","L","","BUS OWNER/EXEC","CLINIC","","0000000000","19770414","GLEN RAY ROAD, BOX A","ALDERSON","WV","24910","1128a3","20250619","00000000","00000000",""
"FULKERSON","DAVID","MICHAEL","","BUS OWNER/EXEC","DRUG COMPANY/SUPLIER","","0000000000","19720610","1928 ELMENDORF AVENUE","EVANSVILLE","IN","47714","1128a3","20250619","00000000","00000000",""
"FULLERTON","KIM","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19630914","213 W KENT ST","HASTINGS","NE","68901","1128b4","20250619","00000000","00000000",""
"GARCIA AVILA","ILIANA","","","EMPLOYEE - PRIVATE S","TRANSPORTATION CO","","0000000000","19671128","331 LAURINA STREET,  APT 609","JACKSONVILLE","FL","32216","1128a1","20250619","00000000","00000000",""
"GARCIA JORGE","SANTIAGO","","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19740728","P O BOX 1000","WHITE DEER","PA","17887","1128a1","20250619","00000000","00000000",""
"GARCIA-GOMEZ","EDWARD","E","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19840127","1335 W 68TH STREET, APT 107","HIALEAH","FL","33014","1128a1","20250619","00000000","00000000",""
"GIBEAULT","SCOTT","JEFFREY","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19660307","P O BOX 194","SOUTHBRIDGE","MA","01550","1128a1","20250619","00000000","00000000",""
"GILES","EDWARD","LEE","","BUS OWNER/EXEC","GENETICS","","0000000000","19550324","P O BOX 9000","FORREST CITY","AR","72336","1128a1","20250619","00000000","00000000",""
"GINSBERG","ERIC","","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19630621","P O BOX 1000","CUMBERLAND","MD","21501","1128a1","20250619","00000000","00000000",""
"GLUR","MISCHELLE","TEDDER","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19680229","10795 HALL DRIVE","AXIS","AL","36505","1128b4","20250619","00000000","00000000",""
"GONZALEZ","ADRIAN","","","BUS OWNER/EXEC","REHAB FACILITY - GEN","","1164945341","19840608","3901 KLEIN BOULEVARD","LOMPOC","CA","93436","1128a3","20250619","00000000","00000000",""
"GONZALEZ","LAVADA","LELA","","EMPLOYEE - PRIVATE S","TRANSPORTATION CO","","0000000000","19870617","728 ROYAL LANE","YUKON","OK","73099","1128a2","20250619","00000000","00000000",""
"GOTTLIEB","KEVIN","LEIGH","","IND- LIC HC SERV PRO","DENTIST","","1649384066","19510328","1842 BOOTLEGGER COVE DR","ANCHORAGE","AK","99501","1128a1","20250619","00000000","00000000",""
"GOYOS","JOSE","MANUEL","","EMPLOYEE - PRIVATE S","DME - GENERAL","","0000000000","19860607","P O BOX 1031","COLEMAN","FL","33521","1128a1","20250619","00000000","00000000",""
"GREENWOOD","JESSICA","MYHKA","","EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI","","0000000000","19920618","555 W 17TH STREET, FL 1","DUBUQUE","IA","52001","1128a2","20250619","00000000","00000000",""
"GUEVARA PAZ","MARTHA","GLORIA","","EMPLOYEE - PRIVATE S","TRANSPORTATION CO","","0000000000","19541124","302 CANIS DRIVE S","ORANGE PARK","FL","32073","1128a1","20250619","00000000","00000000",""
"HABBOULI","YOUSSEF","","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19730615","408 PINEWOOD DR","DAVENPORT","FL","33896","1128b4","20250619","00000000","00000000",""
"HAINES","TERRI","LYNN","","BUS OWNER/EXEC","GENETICS","","0000000000","19641117","8592 PEGASUS DRIVE","LEHIGH ACRES","FL","33971","1128a1","20250619","00000000","00000000",""
"HALE","JACOB","A","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19960227","103 CHAMBERLIN CT","MADISON","MS","39110","1128b4","20250619","00000000","00000000",""
"HALL","ANGELA","DAWN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19761222","708 TRUSCOTT ST","MILES CITY","MT","59301","1128b4","20250619","00000000","00000000",""
"HARMON","AMANDA","RENEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19831019","999 PEPPERTOWN ROAD","FULTON","MS","38843","1128b4","20250619","00000000","00000000",""
"HARRINGTON","KEVIN","JAMES","","EMPLOYEE - PRIVATE S","COMM MNTL HLTH CNTR","","0000000000","19731213","P O BOX 107","WEST ONEONTA","NY","13861","1128a3","20250619","00000000","00000000",""
"HARRIS","AMBER","GRACE","","EMPLOYEE - PRIVATE S","PHYSICIAN PRACTICE (","","0000000000","19920330","19 RUFFED GROUSE PATH","LAKE ARIEL","PA","18436","1128a1","20250619","00000000","00000000",""
"HARRIS","SHERI","ANN RUSSELL","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19610912","861 HIGHWAY 32","WATER VALLEY","MS","38965","1128b4","20250619","00000000","00000000",""
"HARTMANN","AELI","CHANG","","IND- LIC HC SERV PRO","NURSE PRACTITIONER (","","1619433117","19700414","7 BRIDGEWOOD #12","IRVINE","CA","92604","1128b4","20250619","00000000","00000000",""
"HASSAN","ADEN","IBRAHIM","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19750101","4406 CHESTNUT ST","CAMP HILL","PA","17011","1128a1","20250619","00000000","00000000",""
"HAWKINS","KENDELL","TAYLOR","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19901117","227 CHAPEL CREEK WAY","FULTONDALE","AL","35068","1128b4","20250619","00000000","00000000",""
"HAWRYLAK","JERRY","","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19531005","P O BOX 26020","BEAUMONT","TX","77720","1128a3","20250619","00000000","00000000",""
"HAYNES","BENJAMIN","NATHANIEL JR","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19691225","6247 N 5TH ST, APT B","PHILADELPHIA","PA","19120","1128a1","20250619","00000000","00000000",""
"HELEM","PAMELA","JO","","IND- LIC HC SERV PRO","COUNSELOR","","1205963295","19550628","1202 ROGERS DRIVE","PAPILLION","NE","68046","1128a1","20250619","00000000","00000000",""
"HERNANDEZ ABREU","JOSE","LUIS","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19890703","P O BOX 5010","OAKDALE","LA","71463","1128a1","20250619","00000000","00000000",""
"HIRD","DEBBIE","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19610906","109 E STATE ST","BLAKESBURG","IA","52536","1128a4","20250619","00000000","00000000",""
"HODGES","KISHA","NICOLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19760606","1420 35TH AVE","GULFPORT","MS","39501","1128b4","20250619","00000000","00000000",""
"HOMSHER","DAWN","LANAE","","IND- LIC HC SERV PRO","SOCIAL WORKER","","1700066347","19810802","184 E AMALIE DR","MERIDIAN","ID","83642","1128b4","20250619","00000000","00000000",""
"HON","JOHN","WINGSUN","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1184602849","19470821","148 CAT ROCK ROAD","COS COB","CT","06807","1128a1","20250619","00000000","00000000",""
"HORNBUCKLE","CHRISTINA","R","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19810526","5025 BCR 614","STURDIVANT","MO","63782","1128a1","20250619","00000000","00000000",""
"HORTA","JULIANA","PATRICIA","","BUS OWNER/EXEC","REHAB FACILITY - GEN","","1174187678","19820807","13061 SW 242ND ST, APT 311","HOMESTEAD","FL","33032","1128a1","20250619","00000000","00000000",""
"HORTON","AMY","MARIE","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19880711","8 FERN HILL ROAD","PALMER","MA","01069","1128a3","20250619","00000000","00000000",""
"HUANG","HUA","","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19750216","6402A 192ND ST, APT 2B","FRESH MEADOWS","NY","11365","1128a1","20250619","00000000","00000000",""
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