LASTNAME,FIRSTNAME,MIDNAME,BUSNAME,GENERAL,SPECIALTY,UPIN,NPI,DOB,ADDRESS,CITY,STATE,ZIP,EXCLTYPE,EXCLDATE,REINDATE,WAIVERDATE,WVRSTATE
"","","","BROADWAY HEALTHCARE MANAGEMENT","OTHER BUSINESS","MANAGEMENT SVCS CO","","0000000000","","218 ROUTE 17 NORTH, STE 410","ROCHELLE PARK","NJ","07662","1128b5","20251120","00000000","00000000",""
"","","","BROADWAY NUTRITIONAL SERVICES,","OTHER BUSINESS","MANAGEMENT SVCS CO","","0000000000","","218 ROUTE 17 NORTH, SUITE 410","ROCHELLE PARK","NJ","07662","1128b5","20251120","00000000","00000000",""
"","","","GERISCRIPT SUPPLIES, LLC","OTHER BUSINESS","DRUG COMPANY/SUPLIER","","0000000000","","1 UNIVERSITY PLAZA, SUITE 206","HACKENSACK","NJ","07601","1128b5","20251120","00000000","00000000",""
"","","","H W WEIDCO/STER LLC","OTHER BUSINESS","SKILLED NURSING FAC","","1699783910","","794 N FORKLANDING RD","MAPLE SHADE","NJ","08052","1128b5","20251120","00000000","00000000",""
"","","","JACOBS MARKETING, INC","OTHER BUSINESS","MARKETING FIRM","","0000000000","","17484 NORTHWEST FREEWAY, #276","HOUSTON","TX","77040","1128b7","20251009","00000000","00000000",""
"","","","M&A/ COMPREHENSIVE HEALTH CARE","OTHER BUSINESS","MANAGEMENT SVCS CO","","0000000000","","1104 TEANECK RD","TEANECK","NJ","07666","1128b5","20251120","00000000","00000000",""
"","","","NATIONAL NUTRITIONAL FOOD COMP","OTHER BUSINESS","MANAGEMENT SVCS CO","","0000000000","","218 ROUTE 17 NORTH, SUITE 410","ROCHELLE PARK","NJ","07662","1128b5","20251120","00000000","00000000",""
"","","","OHM PHARMACY SERVICES, INC","OTHER BUSINESS","PHARMACY","","0000000000","","301 HAVENDALE BLVD","AUBURNDALE","FL","33823","1128a1","20251120","00000000","00000000",""
"","","","S&G STAFFING, LLC","OTHER BUSINESS","MANAGEMENT SVCS CO","","0000000000","","1018 TRAILWOOD ESTATES DRIVE","MAGNOLIA","TX","77354","1128b7","20251009","00000000","00000000",""
"ABNER-PENCE","AMANDA","LEANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19780427","2500 S BENTSEN PALM DRIVE LOT","MISSION","TX","78572","1128b4","20251120","00000000","00000000",""
"ABREU","GUILLERMO","WILLIAM","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19621128","P O BOX 779800","MIAMI","FL","33177","1128a1","20251120","00000000","00000000",""
"ACEVEDO","RENE","OMAR JR","","IND- LIC HC SERV PRO","PHARMACIST","","1700067675","19770910","3323 9TH STREET, APT 3","ASTORIA","NY","11106","1128a1","20251120","00000000","00000000",""
"ALEXANDER","ALICE","J","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19600622","252 W GRIFFITH ST","WOODRUFF","SC","29388","1128b4","20251120","00000000","00000000",""
"ALFARO","CHRISTINA","","","EMPLOYEE - PRIVATE S","LAB - CLINICAL","","0000000000","19850607","11112 PROMISE LAND DR","FRISCO","TX","75035","1128a1","20251120","00000000","00000000",""
"ALVI","ZISHAN","","","BUS OWNER/EXEC","LABORATORY","","0000000000","19790218","P O BOX 33","TERRE HAUTE","IN","47808","1128a3","20251120","00000000","00000000",""
"ANTOINE","VALERIE","ANJENETTA","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","1487170866","19700314","1006 HICKORY STREET","LUMBERTON","MS","39455","1128a1","20251120","00000000","00000000",""
"ARCHER","MARY","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19660525","1338 ESSEX RD","WESTBROOK","CT","06498","1128b4","20251120","00000000","00000000",""
"ARMANT","NIKITA","S","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19860527","30 PINEWOOD COURT","NEW ORLEANS","LA","70114","1128a3","20251120","00000000","00000000",""
"BAKER","IYIONA","TAPRI","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","20040320","20250 BRADFORD ST","DETROIT","MI","48205","1128b4","20251120","00000000","00000000",""
"BALTIMORE","DANIELLE","MARQUITA","","EMPLOYEE - PRIVATE S","ADULT DAY CARE FACIL","","0000000000","19831030","3563 18TH STREET, SE","WASHINGTON","DC","20020","1128a1","20251120","00000000","00000000",""
"BARRIENTOS","DOMINGO","CHUA","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1184685281","19551118","P O BOX 531500","LOS ANGELES","CA","90053","1128a1","20251120","00000000","00000000",""
"BENGERMINO","CHRISTIAN","","","EMPLOYEE - PRIVATE S","PHARMACY","","0000000000","19880819","516 RUTLEDGE AVENUE","FOLSOM","PA","19033","1128a1","20251120","00000000","00000000",""
"BERRESFORD","STEPHANIE","LOUISE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840527","738 PALMER AVE","PUEBLO","CO","81004","1128b4","20251120","00000000","00000000",""
"BERRY","BRET","","","BUS OWNER/EXEC","REHAB FACILITY - GEN","","0000000000","19600420","138 LAFAYETTE ST","MANDEVILLE","LA","70448","1128a1","20251120","00000000","00000000",""
"BETANCOURT FERNANDEZ","YOAHNA","","","EMPLOYEE - PRIVATE S","TRANSPORTATION CO","","0000000000","19880906","11120 NW GAINESVILLE RD","OCALA","FL","34482","1128a1","20251120","00000000","00000000",""
"BIALECKI","BRENDA","JANE","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19640929","8859 OLD KINGS ROAD SOURT, APT","JACKSONVILLE","FL","32257","1128a1","20251120","00000000","00000000",""
"BLANCO","OSVALDO","PENA","","EMPLOYEE - PRIVATE S","TRANSPORTATION CO","","0000000000","19851028","10650 S W 46TH STREET","JASPER","FL","32052","1128a1","20251120","00000000","00000000",""
"BOSSIER","KAYLA","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19951029","241 LAWRENCE REID RD, LOT 1","TYLERTOWN","MS","39667","1128b4","20251120","00000000","00000000",""
"BOYLAN","JORDAN","ELIZABETH BUTTS","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19910729","7591 MCCARSON LN","WALLS","MS","38680","1128b4","20251120","00000000","00000000",""
"BRAND","SAMANTHA","RENEE BOWEN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870815","325 TRULL CIR","KENNEDY","AL","35574","1128b4","20251120","00000000","00000000",""
"BROWN","FREDERICK","ANTHONY","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1609955350","19721019","31 HOPE FARM RD","MISSOURI CITY","TX","77459","1128a1","20251120","00000000","00000000",""
"BROWN","TIERRA","C","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1467191239","19900606","645 GRIDLEY AVE","AKRON","OH","44306","1128a1","20251120","00000000","00000000",""
"BURGESS","SHANNON","","","IND- LIC HC SERV PRO","SOCIAL WORKER","","1205324928","19800615","3293 KILDARE RD","CLEVELAND","OH","44118","1128a1","20251120","00000000","00000000",""
"CADEAU","SHARON","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19930930","2743 HALL AVE","MARINETTE","WI","54143","1128b4","20251120","00000000","00000000",""
"CAMPBELL","CRISTINA","JANE","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","20000709","311 MATLOCK RD","CAVE CITY","AR","72521","1128a1","20251120","00000000","00000000",""
"CARDWELL","EMILY","MICHELLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19921001","113 BOB TRAIL","STONEVILLE","NC","27048","1128b4","20251120","00000000","00000000",""
"CARRION-MERCADO","SARA","JANETTE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19710721","514 GREEN STREET","LANCASTER","PA","17602","1128a1","20251120","00000000","00000000",""
"CASCONE","MICHAEL","JOHN","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19920612","P O BOX 1031","COLEMAN","FL","33521","1128a1","20251120","00000000","00000000",""
"CHACON","JOSEPH","","","EMPLOYEE - PRIVATE S","TRANSPORTATION CO","","0000000000","19980714","4120 HEATHERBROOK PL","MIDDLEBURG","FL","32068","1128a1","20251120","00000000","00000000",""
"CHAMBERLAIN","JENNIFER","RENEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19730906","8735 POPULAR LANE","SHERRILLS FORD","NC","28673","1128b4","20251120","00000000","00000000",""
"CHENG","LEONARD","","","IND- LIC HC SERV PRO","PHYSICAL THERAPY","","0000000000","19761208","8303 W NORTH AVE, APT 8","MILWAUKEE","WI","53213","1128a2","20251120","00000000","00000000",""
"COLASANTI","MATTHEW","JOHN","","IND- LIC HC SERV PRO","CHIROPRACTIC","","1477965424","19880306","P O BOX 6","LA GRANGE","KY","40031","1128a2","20251120","00000000","00000000",""
"COLE","LISA","","","BUS OWNER/EXEC","SKILLED NURSING FAC","","0000000000","19581005","13764 E CALEY DRIVE","CENTENNIAL","CO","80111","1128b5","20251120","00000000","00000000",""
"COLEMAN","AUDRICK","LAGAEL","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19670820","28 FAIR OAKS DRIVE","MONROE","LA","71203","1128a1","20251120","00000000","00000000",""
"COLEMAN","DWAYNE","PAXON","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","19700207","7301 STONEROCK CIRCLE, STE 2","ORLANDO","FL","32819","1128a3","20251120","00000000","00000000",""
"COLEMAN","LUCRETIA","HARRIS","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19620515","216 OREGON TRAIL","MONROE","LA","71202","1128a1","20251120","00000000","00000000",""
"COLIN","SOEURETTE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19850812","901 STUYVESANT AVE, APT 1A","IRVINGTON","NJ","07111","1128b4","20251120","00000000","00000000",""
"COLLINS","THOMAS","L","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19640714","5902 PRESTON OAKS ROAD, APT 10","DALLAS","TX","75254","1128b4","20251120","00000000","00000000",""
"COMINO","MICHAEL","G V","","BUS OWNER/EXEC","DME - ORTHOTICS","","0000000000","19921210","P O BOX 1031","COLEMAN","FL","33521","1128a1","20251120","00000000","00000000",""
"COODY","MICHAEL","RAYMOND FLOYD","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1255979613","19820804","5709 IVANHOE CT, APT 20","FAYETTEVILLE","NC","28314","1128b4","20251120","00000000","00000000",""
"COOPER","JANIQUE","J","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19980617","13511 HYCOHEN RD, APT 4303","HOUSTON","TX","77047","1128a2","20251120","00000000","00000000",""
"CORNELLIER","NICOLE","RENEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19820209","111 SPANISH MOSS LN","BROUSSARD","LA","70518","1128b4","20251120","00000000","00000000",""
"CURRIER","MELONY","JOSEPHINE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19720608","3650 SOUTH BROADWAY, APT A323","ENGLEWOOD","CO","80113","1128b4","20251120","00000000","00000000",""
"DAERR","MARCUS","SHANE","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19890221","807 S SAN PABLO LANE","WICHITA","KS","67207","1128a1","20251120","00000000","00000000",""
"DEAL","SHELLBY","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","20000309","407 S MAIN STREET","MOUNT BLANCHARD","OH","45867","1128a2","20251120","00000000","00000000",""
"DEVANNEY","BRIAN","","","EMPLOYEE - PRIVATE S","CONSULTING FIRM","","0000000000","19580819","2680 301 SOUTH","JESUP","GA","31599","1128a1","20251120","00000000","00000000",""
"DEWITT","KRISTI","LEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19820715","4240 HIGHWAY M","POPLAR BLUFF","MO","63901","1128b4","20251120","00000000","00000000",""
"DIPASQUALE","PAUL","JOHN","","IND- LIC HC SERV PRO","PHARMACIST","","0000000000","19791018","5765 VISTA LINDA LN","BOCA RATON","FL","33433","1128b4","20251120","00000000","00000000",""
"DOMINGUE","CHRISTINE","RENEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740921","365 N BISBEE AVE","WILLCOX","AZ","85643","1128b4","20251120","00000000","00000000",""
"DOOLITTLE","ARAEL","","","BUS OWNER/EXEC","MANUF/LESSOR SUPP/EQ","","0000000000","19650616","P O BOX 1500","EL RENO","OK","73036","1128a3","20251120","00000000","00000000",""
"DOUGLASS","AMANDA","ELIZABETH","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","1093214264","19850522","17 MALLISON FALLS ROAD","WINDHAM","ME","04062","1128a1","20251120","00000000","00000000",""
"DRISKILL","DANIEL","WAYNE","","IND- LIC HC SERV PRO","DENTIST","","1184983066","19841219","5008 WAINSCOTT WAY, STE 401","RALEIGH","NC","27612","1128b4","20251120","00000000","00000000",""
"DUDENHOEFER","AUSTIN","JOHN","","IND- LIC HC SERV PRO","THERAPIST","","1598243073","19930225","1301 W 8TH ST","ERIE","PA","16502","1128a1","20251120","00000000","00000000",""
"DUNBAR","ZOLA","D","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19661113","109 PECK STREET","SICILY ISLAND","LA","71368","1128a2","20251120","00000000","00000000",""
"DUNCAN","JACOBI","KATRICE","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19910203","250 HILLCREST AVE","BATON ROUGE","LA","70807","1128a1","20251120","00000000","00000000",""
"DUNNING","LUANNE","DANNIELLE","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19690926","525 S MAIN ST, APT 202","BURBANK","CA","91506","1128a1","20251120","00000000","00000000",""
"EKPESU","GRACE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19691026","20514 ENRIQUE DR","KATY","TX","77449","1128b4","20251120","00000000","00000000",""
"ELDER","HEATHER","ROSE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790501","21604 DRAYCOTT WAY","LAND O LAKES","FL","34637","1128b4","20251120","00000000","00000000",""
"ERICKSEN-BENTLEY","DANELLE","L","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19750130","918 7TH AVE N","SAINT JAMES","MN","56081","1128b4","20251120","00000000","00000000",""
"FARRIS","ALETHEA","FAITH JAYNE","","IND- LIC HC SERV PRO","THERAPIST","","1720376577","19810712","504 E ARCHER ST","TULSA","OK","74120","1128a1","20251120","00000000","00000000",""
"FLEMING","VONETTA","VARICE","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19740905","2360 BALIS DRIVE, APT 9","BATON ROUGE","LA","70808","1128a1","20251120","00000000","00000000",""
"FLETCHER","MICHAEL","EUGENE","","PHYSICIAN (MD, DO)","PAIN MANAGEMENT","","1063476216","19630709","P O BOX 35157","TULSA","OK","74153","1128a4","20251120","00000000","00000000",""
"FUENTES","MARIA","ANTONIA","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19720518","7023 CHARLES ST","PHILADELPHIA","PA","19135","1128a1","20251120","00000000","00000000",""
"FUNTONG KWAMU NANA","RITA NEMBO","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790620","16930 CORY CORNELL LANE","RICHMOND","TX","77407","1128b4","20251120","00000000","00000000",""
"GAINEY","MICHAEL","SHANE","","PHYSICIAN (MD, DO)","EMERGENCY MEDICINE","","1194796169","19540730","P O BOX 14500","LEXINGTON","KY","40512","1128a4","20251120","00000000","00000000",""
"GARCIA","ANTHONY","JOSEPH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19930125","1175 W 6TH ST, APT A20","CRAIG","CO","81625","1128b4","20251120","00000000","00000000",""
"GBEYI","MIKE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19841221","203 KUSER RD","TRENTON","NJ","08619","1128b4","20251120","00000000","00000000",""
"GHOSH","MONA","","","PHYSICIAN (MD, DO)","GYN/OBS","","1497915185","19721028","P O BOX 5000","PEKIN","IL","61555","1128a1","20251120","00000000","00000000",""
"GILLEYLEN","CASSANDRA","ALVERA","","EMPLOYEE - PRIVATE S","REHAB FACILITY - GEN","","0000000000","19720512","1118 BARRINGTON DRIVE","FLINT","MI","48503","1128a3","20251120","00000000","00000000",""
"GINNOLD","CANDIS","ELIZABETH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19861204","25 PICKINS DR","POQUOSON","VA","23662","1128b4","20251120","00000000","00000000",""
"GONZALEZ RODRIGUEZ","COSME","DE JESUS","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19961104","8209 SPRING BREEZE CT","ORLANDO","FL","32829","1128a2","20251120","00000000","00000000",""
"GRACE","SONJA","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19770820","1858 CHAPEL HILL DRIVE","YOUNGSTOWN","OH","44511","1128a2","20251120","00000000","00000000",""
"GRIFFIN","LOVIE","BLAKES","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19670108","3454 OSWEGO ST","BATON ROUGE","LA","70805","1128a1","20251120","00000000","00000000",""
"GRIGSBY","PATTI","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19540831","4604 HICKORY LN","JOPLIN","MO","64804","1128b4","20251120","00000000","00000000",""
"GRILLEY","LALAYNYA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840705","202 SEARLES RD","POMFRET CENTER","CT","06259","1128b4","20251120","00000000","00000000",""
"GUEVARRA","CORAZON","HALILI","","EMPLOYEE - PRIVATE S","HOSPICE","","0000000000","19630203","1378 E HILLCREST DR, APT 405","THOUSAND OAKS","CA","91362","1128a1","20251120","00000000","00000000",""
"GUO","SHAOMING","","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19571201","9837 WALNUT STREET, APT S206","DALLAS","TX","75243","1128b4","20251120","00000000","00000000",""
"GUTIERREZ","LINO","MALLARI","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19651013","P O BOX 5000","YAZOO CITY","MS","39194","1128a1","20251120","00000000","00000000",""
"GUYTON","WHITTENEY","","","BUS OWNER/EXEC","HOME HEALTH AGENCY","","0000000000","19810627","GLEN RAY RD, BOX A","ALDERSON","WV","24910","1128a1","20251120","00000000","00000000",""
"HAAS","SHANNON","MICHELLE","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1710205034","19811117","P O BOX 487","ALICEVILLE","AL","35442","1128a1","20251120","00000000","00000000",""
"HALL","WAKEEM","","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19750102","P O BOX 307, 286 WOODLAND DRIV","MARIENVILLE","PA","16239","1128b4","20251120","00000000","00000000",""
"HARDISON","BARRY","GLEN","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1225039258","19580304","503 HUMSTON DRIVE","LAWRENCEBURG","KY","40342","1128b4","20251120","00000000","00000000",""
"HARRIS","CHERYL","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19660716","4110 VERBENA WAY, APT 310","FORT COLLINS","CO","80525","1128b4","20251120","00000000","00000000",""
"HASLEY","VICTORIA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19910129","235 POTOMAC AVE","YOUNGSTOWN","OH","44507","1128a2","20251120","00000000","00000000",""
"HAYDEL","PATRICK","S","","BUS OWNER/EXEC","CHIROPRACTIC PRACT","U51444","1578524039","19651106","P O BOX 5010","OAKDALE","LA","71463","1128a1","20251120","00000000","00000000",""
"HAYNES","MAYRA","ESTHER","","IND- LIC HC SERV PRO","THERAPIST","","1295949956","19730912","2714 SUBIO RD SE","RIO RANCHO","NM","87124","1128a1","20251120","00000000","00000000",""
"HERNANDEZ-RAMIREZ","AARON","ARELI","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1366433187","19560408","8353 BAZEMORE RD","CORDOVA","TN","38018","1128b4","20251120","00000000","00000000",""
"HERNDON","JENNIFER","L","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19751125","350 WHITTLE RD, APT 350","DEXTER","GA","31019","1128b4","20251120","00000000","00000000",""
"HINSON","LATAINA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19770714","75 BAY BROOK CT","O FALLON","MO","63366","1128b4","20251120","00000000","00000000",""
"HOLDER","JENNIFER","LEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19890107","3303 COUNTY ROAD 100","CORINTH","MS","38834","1128b4","20251120","00000000","00000000",""
"HOLLINGTON","SCOTT","ANDREW","","PHYSICIAN (MD, DO)","PATHOLOGY","","1285981043","19650721","8100 HIGHWAY 64 EAST","AVON PARK","FL","33825","1128a2","20251120","00000000","00000000",""
"HOLSTED","AMANDA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19730730","1023 ASPEN CIR","SMITHVILLE","MO","64089","1128b4","20251120","00000000","00000000",""
"HONEYCUTT","JAMIE","K","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19780630","115 BIRCHWOOD DR","SALISBURY","NC","28146","1128b4","20251120","00000000","00000000",""
"HOUCK","TIFFANY","NICOLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19900610","6025 GOODNIGHT AVENUE","TIMNATH","CO","80547","1128b4","20251120","00000000","00000000",""
"HOUSE","BELINDA","RENEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19810727","3238 SULPHUR AVENUE, APT 2","SAINT LOUIS","MO","63139","1128a4","20251120","00000000","00000000",""
"HOWELL","LATISHA","DAWN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19800420","8831 HIGH RIDGE LANE","CONCORD","NC","28027","1128b4","20251120","00000000","00000000",""
"HUDSON","JUANTAVIS","LAVONTE","","BUS OWNER/EXEC","HOME HEALTH AGENCY","","0000000000","20001123","6407 SOUTH CLARK AVENUE","TAMPA","FL","33616","1128a1","20251120","00000000","00000000",""
"HUFF","JOSEPH","PATRICK","","IND- LIC HC SERV PRO","PHARMACIST","","1447330899","19781124","MAXWELL AIR FORCE BASE","MONTGOMERY","AL","36112","1128a1","20251120","00000000","00000000",""
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"SPINA","AMANDA","ELIZABETH","","IND- LIC HC SERV PRO","COUNSELOR","","1588154884","19921027","3421 HALLIE LN","EAU CLAIRE","WI","54703","1128b4","20251120","00000000","00000000",""
"SPRINGER","JILAYA","JAMRIA","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","20011203","550 LEE DRIVE, APT 110","BATON ROUGE","LA","70808","1128a1","20251120","00000000","00000000",""
"STAFFEY","MCKAYLA","A","","EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI","","0000000000","19980111","1479 COLLINS AVE","MARYSVILLE","OH","43040","1128a3","20251120","00000000","00000000",""
"STARR","KHLOE","","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","20031121","4015 LAKESIDE DR, APT 309","ALEXANDRIA","LA","71302","1128a2","20251120","00000000","00000000",""
"STEVENSON","RODNEY","LEWIS II","","BUS OWNER/EXEC","MANUF/LESSOR SUPP/EQ","","0000000000","19960213","1240 AMITY AVE","MUSKEGON","MI","49442","1128a3","20251120","00000000","00000000",""
"STOCKIN","MICHAEL","DAVID","","PHYSICIAN (MD, DO)","ANESTHESIOLOGY","","1861831620","19851222","1301 N WAREHOUSE ROAD","FORT LEAVENWORTH","KS","66027","1128a2","20251120","00000000","00000000",""
"STOLLEY","WILLIAM","LEWIS","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19520705","NASH CORRECTIONAL INSTITUTION","PHOENIX","MD","21131","1128b4","20251120","00000000","00000000",""
"SYTSMA","RENEE","CATHERINE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19741018","1501 BLACKOAK DR","ROCKLAND","WI","54653","1128b4","20251120","00000000","00000000",""
"TALBOT","ADRIAN","DEXTER","","BUS OWNER/EXEC","CLINIC","","1770691412","19651124","P O BOX 15330","FORT WORTH","TX","76119","1128a1","20251120","00000000","00000000",""
"THOMAS","LATOYA","CHANEL","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19791104","161 PRISTINE DRIVE","LOCUST GROVE","GA","30248","1128b4","20251120","00000000","00000000",""
"THOMAS","SIRDAMEON","D","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19970113","P O BOX 37101","SHREVEPORT","LA","71133","1128a1","20251120","00000000","00000000",""
"THOMPSON","SHEKIRA","BRANCHE","","EMPLOYEE - PRIVATE S","HOSPITAL","","0000000000","19881220","3624 CARNEROS CREEK WAY","SACRAMENTO","CA","95834","1128a3","20251120","00000000","00000000",""
"TRAHAN","LISA","MARIE","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","19670910","13984 W WOODBRIDGE AVENUE","GOODYEAR","AZ","85395","1128b3","20251120","00000000","00000000",""
"TYLER","MARIA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19800810","444 BALCOMBE ROAD","ROCKY POINT","NC","28457","1128b4","20251120","00000000","00000000",""
"UWIMANA","EMMA","DUSHIME","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19510415","13838 JEFFERSON PARK DR, APT 9","HERNDON","VA","20171","1128b4","20251120","00000000","00000000",""
"VALENTIN","EMMANUEL","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19841222","P O BOX 725","EDGEFIELD","SC","29824","1128a2","20251120","00000000","00000000",""
"VOGEL","CHRISTOPHER","DEREK","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19861205","1200 E JAMES LEE BLVD","CRESTVIEW","FL","32539","1128b4","20251120","00000000","00000000",""
"WARURU","WINNIE","NYAMBURA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790925","670 PRINCETON BLVD, APT 7","LOWELL","MA","01851","1128a1","20251120","00000000","00000000",""
"WEAVER","ASHLEY","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19851007","1424 5TH STREET","SANDUSKY","OH","44870","1128b4","20251120","00000000","00000000",""
"WEBB","BRIAN","ROBERT","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19900319","11306 DODGE AVE","WARREN","MI","48089","1128b4","20251120","00000000","00000000",""
"WEBER","LARRY","JOSEPH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19560522","215 N HARDY AVE","INDEPENDENCE","MO","64053","1128b4","20251120","00000000","00000000",""
"WHITNEY","KIMBERLY","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19880202","1777 LINDEN STREET","SYRACUSE","NE","68446","1128b4","20251120","00000000","00000000",""
"WILKES","DUSTAN","JERNIGAN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19790731","357 RAVEN ROCK RD","LILLINGTON","NC","27546","1128b4","20251120","00000000","00000000",""
"WILLIAMS","ELIZABETH","KATE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19890929","1263 DAWN VALLEY DR","MARYLAND HEIGHTS","MO","63043","1128b4","20251120","00000000","00000000",""
"WORKMAN","REBECCA","JEAN","","EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI","","0000000000","19761010","2809 AIRPORT ROAD","GREENWOOD","SC","29649","1128a3","20251120","00000000","00000000",""
"YATES","CHRISTINE","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19750629","201 S 4TH STREET","NEW FLORENCE","MO","63363","1128b4","20251120","00000000","00000000",""
"YATES","VIRGIL","DALE","","PHYSICIAN (MD, DO)","PEDIATRICS","","1194831164","19530517","1101 CHICKASAW DRIVE","SOUTH FULTON","TN","38257","1128b4","20251120","00000000","00000000",""
"YIAGNIGNI","ZENABOU","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19680811","12962 CLARKSBURG SQUARE RD","CLARKSBURG","MD","20871","1128b4","20251120","00000000","00000000",""
"YOUABIAN","KAMBIZ","","","PHYSICIAN (MD, DO)","DERMATOLOGY","","1982892865","19730602","5520 HAROLD WAY","LOS ANGELES","CA","90028","1128a3","20251120","00000000","00000000",""
"YOUNG","JACOB","L","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19800331","136 E WYOMING AVE, APT 2","PHILADELPHIA","PA","19120","1128a1","20251120","00000000","00000000",""