LASTNAME,FIRSTNAME,MIDNAME,BUSNAME,GENERAL,SPECIALTY,UPIN,NPI,DOB,ADDRESS,CITY,STATE,ZIP,EXCLTYPE,EXCLDATE,REINDATE,WAIVERDATE,WVRSTATE
"","","","A1 CLASS CAR INC","OTHER BUSINESS","TRANSPORTATION CO","","0000000000","","7 PRESTWICK DRIVE","MONROE","NY","10950","1128a1","20260120","00000000","00000000",""
"","","","BROADWAY RX ENTERPRISES, INC","OTHER BUSINESS","PHARMACY","","1376074005","","6 OLIVE ST","GREAT NECK","NY","11020","1128a1","20260120","00000000","00000000",""
"","","","E-GREEN PHARMACY, INC","OTHER BUSINESS","PHARMACY","","1942754601","","3500 BROADWAY","NEW YORK","NY","10031","1128a1","20260120","00000000","00000000",""
"","","","EMPIRE TRANS NY INC","OTHER BUSINESS","TRANSPORTATION CO","","0000000000","","206 ELISE DRIVE","MIDDLETOWN","NY","10941","1128a1","20260120","00000000","00000000",""
"","","","KAE'S CUBE OF LIFE LLC","OTHER BUSINESS","COUNSELING CENTER","","1447766670","","C/O BENSON COOKS","LAS VEGAS","NV","89121","1128a1","20260120","00000000","00000000",""
"","","","LABTECH DIAGNOSTIC, LLC","OTHER BUSINESS","LABORATORY","","1386915700","","1502 E GREENVILLE ROAD","ANDERSON","SC","29621","1128b7","20251219","00000000","00000000",""
"","","","MEDITRANS NY INC","OTHER BUSINESS","TRANSPORTATION CO","","0000000000","","15 LAMBROS DR","MONROE","NY","10950","1128a1","20260120","00000000","00000000",""
"","","","NEVADA STATE FAMILY SERVICES,","OTHER BUSINESS","COUNSELING CENTER","","1649949124","","3430 E FAMINGO RD, STE 348","LAS VEGAS","NV","89121","1128a1","20260120","00000000","00000000",""
"","","","NEW JOURNEYS IN RECOVERY","OTHER BUSINESS","SOBER HOME","","1588709604","","C/O LAWRENCE GALLAGHER","PHILADELPHIA","PA","19133","1128a1","20260120","00000000","00000000",""
"","","","SA & SB ENTERPRISES, INC","OTHER BUSINESS","CONSULTING FIRM","","0000000000","","C/O SHAMIZA ALLY","SOUTH OZONE PARK","NY","11420","1128a1","20260120","00000000","00000000",""
"","","","SURNIL PHARMACY, INC","OTHER BUSINESS","PHARMACY","","1053528422","","1207 N 5TH ST","PHILADELPHIA","PA","19122","1128a1","20260120","00000000","00000000",""
"","","","TRISTATE EXPRESS NY, INC","OTHER BUSINESS","TRANSPORTATION CO","","0000000000","","581 STATE ROUTE 17M","MONROE","NY","10950","1128a1","20260120","00000000","00000000",""
"ABRAMS","PERCY","DEAN","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19500512","9503 BONITO FALLS DRIVE","CONVERSE","TX","78109","1128a1","20260120","00000000","00000000",""
"ABREU ARTELLES","PABLO","ALBERTO SR","","EMPLOYEE - PRIVATE S","COUNSELING CENTER","","1265933097","19730121","4368 SW 10TH STREET","MIAMI","FL","33134","1128a1","20260120","00000000","00000000",""
"ABRONS III","OSCAR","BROWN","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19810211","501 CITY DRIVE SOUTH","ORANGE","CA","92868","1128a1","20260120","00000000","00000000",""
"ACHU","RUTH","FRI","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19960906","12824 CANOVA DRIVE","MANASSAS","VA","20112","1128b4","20260120","00000000","00000000",""
"ACOSTA","JORGE","EDUARDO","","IND- LIC HC SERV PRO","PHYSICAL THERAPY","","1285740803","19681115","21853 ADRIATIC LN","LAND O LAKES","FL","34637","1128a3","20260120","00000000","00000000",""
"ACOSTA","SHIANN","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19950406","473 4TH AVENUE","GOLD HILL","OR","97525","1128b4","20260120","00000000","00000000",""
"ADAMS","MEGHAN","MAUREEN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19810714","340 MACASSAR DR, APT 1","PITTSBURGH","PA","15236","1128b4","20260120","00000000","00000000",""
"AHMED","MAKIN","UDDIN","","PHYSICIAN (MD, DO)","PEDIATRICS","","1821134495","19550604","1389 BRINSTON CT","BALLWIN","MO","63011","1128b4","20260120","00000000","00000000",""
"AKUNYE","MERCY","APUSWIN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840131","1708 CHAMAELEON DR","HASLET","TX","76052","1128b4","20260120","00000000","00000000",""
"ALI","ASIM","MUHAMMAD","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1821047218","19701201","P O BOX 1000","MARION","IL","62959","1128a1","20260120","00000000","00000000",""
"ALLEN","HEATHER","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19910124","369 GARRISON HOLLOW ROAD, LOT","ELIZABETHTON","TN","37643","1128b4","20260120","00000000","00000000",""
"ALLINGHAM","DAVID","GEOFFREY JR","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1538229497","19600220","P O BOX 1000","PETERSBURG","VA","23804","1128a3","20260120","00000000","00000000",""
"ALLY","SHAMIZA","","","BUS OWNER/EXEC","TRANSPORTATION CO","","0000000000","19731222","109-46 115TH STREET","SOUTH OZONE PARK","NY","11420","1128a1","20260120","00000000","00000000",""
"ALSTON","CHRISTINA","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19860602","1925 CHESTNUT AVE","HUNTINGTON","IN","46750","1128b4","20260120","00000000","00000000",""
"ALVEY","CAITLIN","MARY","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840518","2118 W MANGOLD AVE","MILWAUKEE","WI","53221","1128b4","20260120","00000000","00000000",""
"ANDERSON","DESTINEE","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","1184283897","19961102","856 E DEWEY AVE","YOUNGSTOWN","OH","44502","1128a1","20260120","00000000","00000000",""
"ARCE","ALAIN","LEON","","BUS OWNER/EXEC","SUBCONTRACTOR (NON-H","","0000000000","19831030","P O BOX 779800","MIAMI","FL","33177","1128a1","20260120","00000000","00000000",""
"ARENCIBIA","BORIS","","","BUS OWNER/EXEC","PHARMACY","","0000000000","19730907","P O BOX 019120","MIAMI","FL","33101","1128a3","20260120","00000000","00000000",""
"ARPA","JORDANA","LEE","","EMPLOYEE - PRIVATE S","DME - GENERAL","","0000000000","19820625","8418 IDYLWOOD RD","VIENNA","VA","22182","1128a1","20260120","00000000","00000000",""
"ARTIN","LOUI","","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19620128","15941 PARTHENIA ST","NORTH HILLS","CA","91343","1128a3","20260120","00000000","00000000",""
"ASHEGHIAN","MARC","M","","BUS OWNER/EXEC","DRUG COMPANY/SUPLIER","","0000000000","19610208","3430 ALANA DR","SHERMAN OAKS","CA","91403","1128a3","20260120","00000000","00000000",""
"AUGUST","BRIAN","JAMES","","PHYSICIAN (MD, DO)","PAIN MANAGEMENT","","1184618597","19600812","5130 STERLING PLACE","EL PASO","TX","79932","1128b7","20251212","00000000","00000000",""
"AUSTIN","SHAYLEE","DIANNE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19970612","601 24TH ST LOT N-13","RAWLINS","WY","82301","1128b4","20260120","00000000","00000000",""
"AVELLANEDA","DINO","PORTEZ","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19670925","6170 E SAHARA AVENUE, UNIT 102","LAS VEGAS","NV","89142","1128b4","20260120","00000000","00000000",""
"AWUSAH","SOLOMON","CHUKWUEMEKA","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1922245083","19790501","P O BOX 1000","MORGANTOWN","WV","26507","1128a1","20260120","00000000","00000000",""
"BALTAIAN","LILIT","GAGIKOVAN","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1154552305","19630817","18410 HAMPTON CT","PORTER RANCH","CA","91326","1128a1","20260120","00000000","00000000",""
"BAR","MORDECHAI","F","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1174592455","19520912","19 BONNIE WAY, APT 5","LARCHMONT","NY","10538","1128a4","20260120","00000000","00000000",""
"BARNES","ARIANNA","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19990527","14512 GRANGER RD, UNIT 1","MAPLE HEIGHTS","OH","44137","1128a1","20260120","00000000","00000000",""
"BARNES","MOLLY","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19750321","17 SAINTS WAY","WINDSOR","ME","04363","1128b4","20260120","00000000","00000000",""
"BARRON","ASHLEY","NICOLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19891116","7078 ANN CABELL CT","MECHANICSVILLE","VA","23111","1128b4","20260120","00000000","00000000",""
"BARRY","DARNESHA","DARMENIA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1326386210","19850712","6040 N 41ST ST","MILWAUKEE","WI","53209","1128b4","20260120","00000000","00000000",""
"BAYS","BOBBIE","JEAN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19800129","60301 EAST 38TH AVENUE","STRASBURG","CO","80136","1128b4","20260120","00000000","00000000",""
"BECK","JOANNA","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19881016","67 MARYLAND AVENUE, APT 3","JERSEY SHORE","PA","17740","1128b4","20260120","00000000","00000000",""
"BELL","KAYLA","RACHELLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19890824","3733 JENAH DR APT E","NEWBURGH","IN","47630","1128a4","20260120","00000000","00000000",""
"BELL","MARNI","JILL","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19830124","348 E FULTON ST","LANCASTER","PA","17602","1128a1","20260120","00000000","00000000",""
"BELLO","RASHIDAT","OLAJUMOKE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19750903","3525 EASTERN BRANCH RD","RALEIGH","NC","27610","1128b4","20260120","00000000","00000000",""
"BENGERMINO","FRANK","JOSEPH","","IND- LIC HC SERV PRO","PHARMACIST","","1992156798","19531106","500 E 4TH STREET","CHESTER","PA","19013","1128a1","20260120","00000000","00000000",""
"BENNDORF","SHERRILL","DARVIESE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1932982352","19690128","2355 CLOVER CREST DR","CINCINNATI","OH","45239","1128a3","20260120","00000000","00000000",""
"BERAHA","JACK","","","BUS OWNER/EXEC","MARKETING FIRM","","0000000000","19560710","7355 PINEMOUNT DR","ORLANDO","FL","32819","1128a1","20260120","00000000","00000000",""
"BERRY","KRISTY","LEE","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19750311","P O BOX 27131","NAVAL AIR STATION JR","TX","76127","1128a1","20260120","00000000","00000000",""
"BHARGAVA","AJAY","KUMAR","","IND- LIC HC SERV PRO","PHYSICAL THERAPY","","1669588018","19670116","3201 NORTH EUCLID AVENUE","SAINT LOUIS","MI","48880","1128a2","20260120","00000000","00000000",""
"BIEDA","LEVI","CHAIM","","BUS OWNER/EXEC","SUBSTANCE ABUSE REHA","","0000000000","19850316","400 CUMBERLAND ST","ENGLEWOOD","NJ","07631","1128a3","20260120","00000000","00000000",""
"BIEDA","MIMI","JOY","","BUS OWNER/EXEC","SUBSTANCE ABUSE REHA","","0000000000","19590704","160 DEER LAKE CIR","ORMOND BEACH","FL","32174","1128a3","20260120","00000000","00000000",""
"BILLS","GEORGE","J SR","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19611125","P O BOX 86","READSBORO","VT","05350","1128a2","20260120","00000000","00000000",""
"BILLS","KIM","M","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19610701","6935 E MAIN ST","READSBORO","VT","05350","1128a2","20260120","00000000","00000000",""
"BLAIR","JUSTIN","EDWARD","","BUS OWNER/EXEC","MARKETING FIRM","","0000000000","19900103","P O BOX 779800","MIAMI","FL","33177","1128a1","20260120","00000000","00000000",""
"BOEDIGHEIMER","AMY","SUE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840128","10561 102ND PL N","MAPLE GROVE","MN","55369","1128b4","20260120","00000000","00000000",""
"BOLANOS","MOISES","ANTONIO","","EMPLOYEE - PRIVATE S","DME - GENERAL","","0000000000","19680226","P O BOX 019120","MIAMI","FL","33101","1128a1","20260120","00000000","00000000",""
"BORDERS","JOSHUA","LEONARD","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19801028","222 WEST DEPOT ST","MARION","KY","42064","1128b4","20260120","00000000","00000000",""
"BOYD","CYNTHIA","SUE","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19690925","427 HIGHLAND AVE","KITTANNING","PA","16201","1128a1","20260120","00000000","00000000",""
"BRADEN","FELEE","","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","1508503301","19790806","4524 SHOSHONE CT","NORFOLK","VA","23513","1128a1","20260120","00000000","00000000",""
"BREWER","STEVEN","ARON","","IND- LIC HC SERV PRO","PHYSICIAN ASSISTANT","","1801070313","19770815","1630 WILKES RIDGE PKWY, STE 20","HENRICO","VA","23233","1128b4","20260120","00000000","00000000",""
"BRINSON","CHERYL","YOLANDA","","BUS OWNER/EXEC","HOME HEALTH AGENCY","","1063924587","19790727","113 FALLIN BLVD, APT B3","GOLDSBORO","NC","27534","1128a1","20260120","00000000","00000000",""
"BROOKS","KAREN","MACHELLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19690506","249 OLD MILL RD","CHILHOWIE","VA","24319","1128a1","20260120","00000000","00000000",""
"BROOKS","SHALAH","V","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19970914","7625 SIMMERS VALLEY RD","HARRISONBURG","VA","22802","1128a1","20260120","00000000","00000000",""
"BROWN","MALAYSIA","SHABREE","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19990128","11830 MILL BRIDGE RD","LUSBY","MD","20657","1128a1","20260120","00000000","00000000",""
"BROWN-KEYS","KEAONTE","C","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","20031226","19 S CLAYTON ST","WILMINGTON","DE","19805","1128a3","20260120","00000000","00000000",""
"BRUGGEMAN","JERRY","JOSEPH","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1033161120","19710826","3706 TRIPLE CROWN DR","COLUMBIA","MO","65202","1128a1","20260120","00000000","00000000",""
"BULLOCK","TONYA","SHELISE","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19660218","3605 WHITE AVENUE","BALTIMORE","MD","21206","1128a4","20260120","00000000","00000000",""
"BUSHEY","ANGELA","","","EMPLOYEE - PRIVATE S","HOSPICE","","0000000000","19720904","2732 N CLAYTON AVE","SPRINGFIELD","MO","65803","1128a1","20260120","00000000","00000000",""
"BUTCHER","PATRICK","EDWARD","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19641018","4 EPHRAIM TYLER WAY","KENNEBUNK","ME","04043","1128a3","20260120","00000000","00000000",""
"BUTLER","STEVEN","MICHAEL","","IND- LIC HC SERV PRO","THERAPIST","","1497988364","19620919","P O BOX 1409","LAKEPORT","CA","95453","1128b4","20260120","00000000","00000000",""
"BUTTERWORTH","ELIZABETH","ANN","","IND- LIC HC SERV PRO","NURSE PRACTITIONER (","","1497863468","19620523","10 BOBWHITE LN","CAPE MAY COURT HOUSE","NJ","08210","1128a4","20260120","00000000","00000000",""
"CALDWELL","ELIJAH","","","IND- LIC HC SERV PRO","SOCIAL WORKER","","1013167311","19810130","4830 W KENNEDY BLVD, STE 600","TAMPA","FL","33609","1128a1","20260120","00000000","00000000",""
"CAMILO-ESCOLASTICO","RAFAEL","ALBERTO","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19830314","606 CRESCENT AVE, APT 5E","PLAINFIELD","NJ","07060","1128a1","20260120","00000000","00000000",""
"CAMPBELL","ARIC","SCOTT","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19860921","P O BOX 479","BURGIN","KY","40310","1128a2","20260120","00000000","00000000",""
"CANFIELD","KAREN","J","","IND- LIC HC SERV PRO","COUNSELOR","","1548258148","19630202","4720 N COLLISTER DR","BOISE","ID","83703","1128a1","20260120","00000000","00000000",""
"CARDEN","MICHELLE","DARA MAZZA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19970205","1802 JACKSON AVE W, APT 109","OXFORD","MS","38655","1128b4","20260120","00000000","00000000",""
"CAREY","JOHN","JOSEPH III","","IND- LIC HC SERV PRO","PHARMACIST","","1922604974","19580523","235 MARY ANN WAY","NORTH ATTLEBORO","MA","02760","1128b4","20260120","00000000","00000000",""
"CASSELL","ANDREW","ROBERT","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870514","908 MIDDLE AVE","MARION","VA","24354","1128b4","20260120","00000000","00000000",""
"CASTILLO","MICHAEL","ROBERT","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19771025","170 FRED AVE","WAYNESVILLE","GA","31566","1128b4","20260120","00000000","00000000",""
"CENTENO","IJINIO","JR","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19940805","1317 11TH STREET W","BRADENTON","FL","34205","1128a1","20260120","00000000","00000000",""
"CHAPMAN","ANDREW","","","EMPLOYEE - PRIVATE S","THERAPEUTIC BOARDING","","0000000000","19890118","1464 TOWER RD","ELLISVILLE","MS","39437","1128a2","20260120","00000000","00000000",""
"CHATMAN-ASHLEY","SHANONE","","","IND- LIC HC SERV PRO","NURSE PRACTITIONER (","","1831547868","19791120","P O BOX 7006","MARIANNA","FL","32447","1128a1","20260120","00000000","00000000",""
"CHEEKS","CURTIS","JR","","PHYSICIAN (MD, DO)","GENERAL PRACTICE","","1528164092","19700130","3232 TELFORD TER SW","ATLANTA","GA","30331","1128b4","20260120","00000000","00000000",""
"CHISOLM","JACK","DANIEL","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870424","1230 OLD HIGHWAY 51","PICKENS","MS","39146","1128b4","20260120","00000000","00000000",""
"CHO","TINA","YUNJOO","","IND- LIC HC SERV PRO","DENTIST","","1255405064","19621030","1244 FETLOCK WAY","RIVERSIDE","CA","92506","1128a1","20260120","00000000","00000000",""
"CHUN","JUNG","EA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19631106","1346 BALLISTA AVENUE","LA PUENTE","CA","91744","1128b4","20260120","00000000","00000000",""
"CLARO ESTRADA","REINIEL","","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19810927","P O BOX 4050","POLLOCK","LA","71467","1128a1","20260120","00000000","00000000",""
"CODIJA","BERNICE","INELS BALBINE","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19831204","9 AURILLA ST","WORCESTER","MA","01607","1128a1","20260120","00000000","00000000",""
"COHEN","DANIEL","R","","PHYSICIAN (MD, DO)","SURGERY","","1174837629","19810115","2518 FRANKLIN STREET","BELLINGHAM","WA","98225","1128b4","20260120","00000000","00000000",""
"COOKS","BENSON","WAYNE","","BUS OWNER/EXEC","TRANSPORTATION CO","","0000000000","19570129","3597 VICTORY AVE","LAS VEGAS","NV","89121","1128a1","20260120","00000000","00000000",""
"COOLONG","KEVIN","JAMES","","IND- LIC HC SERV PRO","NURSE PRACTITIONER (","","1316947310","19610518","34 N KINGSBRIDGE PL, APT A","CHESAPEAKE","VA","23322","1128b4","20260120","00000000","00000000",""
"COOPER","EMILY","ELIZABETH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19991227","18902 B F FINLEY CIR","GLEN SAINT MARY","FL","32040","1128a2","20260120","00000000","00000000",""
"CRAIG","JAMES","TOLIVER","","IND- LIC HC SERV PRO","DENTIST","","1942301502","19780211","11560 ROAD FF75","LAS ANIMAS","CO","81054","1128b4","20260120","00000000","00000000",""
"CROOK","CAROLYN","RUTH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19590403","5001 SHADOWOOD WAY","FAIR OAKS","CA","95628","1128b4","20260120","00000000","00000000",""
"CUELLO","JULIAN","ENRIQUE","","BUS OWNER/EXEC","SOBER HOME","","0000000000","19730727","7133 ESTATE TUTU","ST THOMAS","VI","00802","1128a1","20260120","00000000","00000000",""
"DANIELIAN","ARMAN","ASHOTI","","BUS OWNER/EXEC","DRUG COMPANY/SUPLIER","","0000000000","19750612","9425 VIA PATRICIA","BURBANK","CA","91504","1128a3","20260120","00000000","00000000",""
"DANIELS","CATHERINE","","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19640314","3314 CULVER ST","DALLAS","TX","75223","1128a2","20260120","00000000","00000000",""
"DAVIS","CHRISTOPHER","JACKSON","","PHYSICIAN (MD, DO)","SURGERY","","1144473208","19611101","925 HERITAGE HILLS DR","YORK","PA","17402","1128b4","20260120","00000000","00000000",""
"DAVIS","WILLIE","ANN","","EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI","","0000000000","19621206","410 8TH ST","MARKS","MS","38646","1128a2","20260120","00000000","00000000",""
"DAVIS-BOONE","YVONNE","","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19900423","8320 LAUREL AVE","KANSAS CITY","MO","64138","1128a1","20260120","00000000","00000000",""
"DEAL-WATKINS","MONTREIL","L","","EMPLOYEE - PRIVATE S","ADULT HOME","","0000000000","19990713","952 SPRINGDALE STREET","AKRON","OH","44310","1128a2","20260120","00000000","00000000",""
"DELRIE","ROGER","CHANCE","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","20011114","322 CEDAR LN","PINEVILLE","LA","71360","1128a2","20260120","00000000","00000000",""
"DENNIS","LATOYA","ELAINE","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19890309","920 BENNETT ST","ALEXANDRIA","LA","71302","1128a2","20260120","00000000","00000000",""
"DENTON","MARISSA","JEAN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19890902","2354 DANBURY DR","CLARKSVILLE","TN","37042","1128b4","20260120","00000000","00000000",""
"DIALLO","HAILMATOU","","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19990902","204 HIGH ST, APT 2","PAWTUCKET","RI","02860","1128a2","20260120","00000000","00000000",""
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"TURCOL","ROBERT","THOMAS","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19791120","1138 LAUREL AVE","CHESAPEAKE","VA","23325","1128b4","20260120","00000000","00000000",""
"VARNEY","KIMBERLY","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19781103","7714 SE SARATOGA DR","HOBE SOUND","FL","33455","1128b4","20260120","00000000","00000000",""
"VEAL","JANAY","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","1619648243","19870720","78 LEMANS DR, APT 6","YOUNGSTOWN","OH","44512","1128a1","20260120","00000000","00000000",""
"VIARENGO","MICHAEL","VINCENT","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19640812","9088 W ATLANTIC BLVD, APT 524","CORAL SPRINGS","FL","33071","1128a1","20260120","00000000","00000000",""
"VUE","RICHARD","","","BUS OWNER/EXEC","MENTAL/BEHAVIORAL HE","","1437692092","19581210","1461 STILLWATER BLVD N","STILLWATER","MN","55082","1128a1","20260120","00000000","00000000",""
"WALKER","GRACE","","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19970312","549 MAIN ST S","MENDENHALL","MS","39114","1128a2","20260120","00000000","00000000",""
"WALKER","HEATHER","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740907","22469 N 104TH DR","PEORIA","AZ","85383","1128b4","20260120","00000000","00000000",""
"WALKER","LEWIS","WILBERT JR","","EMPLOYEE - PRIVATE S","INTER CARE FACILITY","","0000000000","19860316","808 RHEM ST","KINSTON","NC","28501","1128a2","20260120","00000000","00000000",""
"WALRAVEN","CHRISTINA","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1538739396","19761105","410 W NORTHERN AVE","LIMA","OH","45801","1128a1","20260120","00000000","00000000",""
"WARD","MILTON","","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19561227","2815 RANDOLPH ST","JACKSON","MS","39213","1128a2","20260120","00000000","00000000",""
"WATERS","LARHONDA","E","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19920720","930 WHATCOAT DR, APT 32","DOVER","DE","19904","1128a1","20260120","00000000","00000000",""
"WEBB","MICHAEL","E","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19790804","7630 E 79TH STREET, APT 203","KANSAS CITY","MO","64151","1128a1","20260120","00000000","00000000",""
"WELCH","CHARLES","JR","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1851339576","19581225","5320 MYSTIC BAY DR UNIT 705","OSAGE BEACH","MO","65065","1128a3","20260120","00000000","00000000",""
"WESLEY","HAROLD","DEXTER","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19650628","30 MOUNTAINSIDE LN","COVINGTON","GA","30016","1128a1","20260120","00000000","00000000",""
"WHITE","JOHN","L","","EMPLOYEE - PRIVATE S","ADULT HOME","","0000000000","19890708","10319 WHITINGHAM DR","DALLAS","TX","75227","1128a3","20260120","00000000","00000000",""
"WILLIAMS","ADRIENNE","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19781010","7009 GRAND PRAIRIE DR","COLORADO SPRINGS","CO","80923","1128b4","20260120","00000000","00000000",""
"WILLIAMS","KADY","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19890519","1742 LAKESIDE DR","POWHATAN","VA","23139","1128b4","20260120","00000000","00000000",""
"WILLIAMS","LENARDRIA","LATISM","","EMPLOYEE - PRIVATE S","ADULT HOME","","0000000000","19940713","5901 ELMORE AVE, APT L11","DAVENPORT","IA","52807","1128a2","20260120","00000000","00000000",""
"WILLIAMS","LORI","A","","BUS OWNER/EXEC","ADULT DAY CARE FACIL","","1952915910","19610228","10235 TANNER DR","SAINT LOUIS","MO","63136","1128a1","20260120","00000000","00000000",""
"WILLIAMS","TARA","THERESA","","EMPLOYEE - PRIVATE S","MENTAL/BEHAVIORAL HE","","0000000000","19701016","207 WILLOUGHBY LN","CLINTON","TN","37716","1128a2","20260120","00000000","00000000",""
"WILLIAMSON","TARA","YVONNE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19710822","107 SHILOH DR, APT 12","GREENVILLE","NC","27834","1128a2","20260120","00000000","00000000",""
"WILSON","LATRESIA","ANN","","PHYSICIAN (MD, DO)","EMERGENCY MEDICINE","","1649241613","19631112","3330 NW 2ND AVE","OCALA","FL","34475","1128a1","20260120","00000000","00000000",""
"WILSON","SHARON","N","","IND- LIC HC SERV PRO","HEALTH CARE AIDE","","0000000000","19790408","1760 BUENA VISTA DRIVE","EUCLID","OH","44117","1128a2","20260120","00000000","00000000",""
"WINTER","DEBORAH","A","","IND- LIC HC SERV PRO","THERAPIST","","1518987569","19520514","2100 W 69TH ST","MISSION HILLS","KS","66208","1128a1","20260120","00000000","00000000",""
"WRIGHT","TRACY","TIMOTHY","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19711117","208 GLENFIELD CIR, APT C4","ORANGEBURG","SC","29118","1128a2","20260120","00000000","00000000",""
"YOUNGBLOOD","PEARLY","MARTIN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19810426","542 OKATOMA RIVER ROAD","SEMINARY","MS","39479","1128a1","20260120","00000000","00000000",""
"ZADOV","MARIANNA","","","IND- LIC HC SERV PRO","DENTIST","","1104903301","19760719","10204 ISLE WYND CT","BOYNTON BEACH","FL","33437","1128a1","20260120","00000000","00000000",""
"ZHANG","XING","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1326681024","19680315","P O BOX 2000","JOINT BASE MDL","NJ","08640","1128a1","20260120","00000000","00000000",""
"ZHU","SI","CI","","BUS OWNER/EXEC","PHARMACY","","0000000000","19721019","33 CLAIRE CT","STATEN ISLAND","NY","10301","1128a1","20260120","00000000","00000000",""