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United States APEX Custom Software Database Leaked - Download
by 0mid16B - 01-02-25, 10:14 PM
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Members

Posts 26
Threads 21
Joined Nov 2024
Reputation 14
8 Months
#1
01-02-25, 10:14 PM
[Image: 2ZhiVNs.png]

On 16th Jan 2025, i conducted a supply chain attack on the Controlled Substance Monitoring system of APEX Custom Software, Inc (apexcustomsoftware.com) - a healthcare and pharmacy software provider in Texas United States, and stole CSMP databases, affecting hundreds of its pharmacy and healthcare clients. The data is as recent as 18th Jan 2025.
SAMPLE
Code:
NPI,entity,replacement_npi,ein,porgname,plname,pfname,pmname,pnameprefix,pnamesuffix,pcredential,porgnameoth,porgnameothcode,plnameoth,pfnameoth,pmnameoth,pnameprefixoth,pnamesuffixoth,pcredentialoth,plnamecode,pmailline1,pmailline2,pmailcityname,pmailstatename,pmailzip,pmailcountry,pmailtel,pmailfax,plocline1,plocline2,ploccityname,plocstatename,ploczip,ploccountry,ploctel,plocfax,penumdatestr,penumdate,lastupdatestr,lastupdate,npideactreason,npideactdatestr,npideactdate,npireactdatestr,npireactdate,pgender,aolname,aofname,aomname,aotitle,aotelnum,ptaxcode1,plicnum1,plicstate1,pprimtax1,ptaxcode2,plicnum2,plicstate2,pprimtax2,ptaxcode3,plicnum3,plicstate3,pprimtax3,ptaxcode4,plicnum4,plicstate4,pprimtax4,ptaxcode5,plicnum5,plicstate5,pprimtax5,ptaxcode6,plicnum6,plicstate6,pprimtax6,soleprop,orgsubpart,parent_org_lbn,parent_org_tin,aoname_prefix,aoname_suffix,aocredential,ptaxgroup1,ptaxgroup2,ptaxgroup3,ptaxgroup4,ptaxgroup5,ptaxgroup6,ptaxgroup7,ptaxgroup8,ptaxgroup9,ptaxgroup10,ptaxgroup11,ptaxgroup12,ptaxgroup13,ptaxgroup14,ptaxgroup15[/align]
1003000100,1,,,,GOMEZ,GERARDO,,,,,,,,,,,,,,680 S WILTON PL,,LOS ANGELES,CA,900053200,US,2133657400,2133831280,680 S WILTON PL,,LOS ANGELES,CA,900053200,US,2133657400,2133831280,08/31/2007,8/31/2007,08/31/2007,8/31/2007,,,,,,M,,,,,,171M00000X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000118,2,,<UNAVAIL>,STEVEN ENGEL PEDIATRICS,,,,,,,,,,,,,,,,1700 NEUSE BLVD,,NEW BERN,NC,285602304,US,2526373799,2526330944,1700 NEUSE BLVD,,NEW BERN,NC,285602304,US,2526373799,2526330944,08/31/2007,8/31/2007,08/31/2007,8/31/2007,,,,,,,BRANTON,JESSICA,L,OFFICE MANAGER,2526373799,208000000X,20789,NC,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000126,1,,,,ENKESHAFI,ARDALAN,,,,M.D.,,,,,,,,,,313 SKYVIEW DR,,CUMBERLAND,MD,215021929,US,4436026207,,900 SETON DR,,CUMBERLAND,MD,215021854,US,3017234000,,08/31/2007,8/31/2007,09/11/2009,9/11/2009,,,,,,M,,,,,,207R00000X,D0068455,MD,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000134,1,,,,CIBULL,THOMAS,LEE,DR.,,M.D.,,,,,,,,,,2650 RIDGE AVE,EVANSTON HOSPITAL,EVANSTON,IL,602011718,US,8475702040,8477335315,2650 RIDGE AVE,EVANSTON HOSPITAL,EVANSTON,IL,602011718,US,8475702040,8477335315,08/31/2007,8/31/2007,08/06/2008,8/6/2008,,,,,,M,,,,,,207ZP0102X,036120492,IL,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000142,1,,,,KHALIL,RASHID,,,,M.D.,,,,,,,,,,2200 JEFFERSON AVE,4TH FLOOR,TOLEDO,OH,436047101,US,,,4126 N HOLLAND SYLVANIA RD,SUITE 220,TOLEDO,OH,436233536,US,4195177624,4195177656,08/31/2007,8/31/2007,08/03/2015,8/3/2015,,,,,,M,,,,,,207L00000X,35096817,OH,Y,207LP2900X,4301093657,MI,N,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000159,1,,,,VOGES,MARSHA,SUSAN,,,FNP,,,,,,,,,,4115 DORCHESTER ROAD,CONCENTRA,CHARLESTON,SC,29405,US,8435546737,8435543356,4115 DORCHESTER ROAD,CONCENTRA MEDICAL CENTER,CHARLESTON,SC,29405,US,8435546737,8435543356,08/31/2007,8/31/2007,10/29/2009,10/29/2009,,,,,,F,,,,,,363LF0000X,810,SC,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000167,1,,,,ESCOBAR,JULIO,EDGARDO,DR.,,DDS,,,,,,,,,,5 PINE CONE RD,,DAYTON,NV,894037482,US,7752207788,,5 PINE CONE RD,,DAYTON,NV,894037482,US,7752207788,,08/31/2007,8/31/2007,05/12/2010,5/12/2010,,,,,,M,,,,,,122300000X,5572,NV,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000175,1,,,,REYES-VASQUEZ,BELINDA,,DR.,,D.D.S.,,,,,,,,,,4727 SILVER TIP DR,,WHITTIER,CA,906011763,US,6263785315,,322 N AZUSA AVE STE 202,,LA PUENTE,CA,917444648,US,6265810800,6265810591,08/31/2007,8/31/2007,01/27/2012,1/27/2012,,,,,,F,,,,,,122300000X,56153,CA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000183,1,,,,CYPHERS,DENNIS,JAMES,MR.,,L.M.P,,,,,,,,,,6930 52ND AVE W,,TACOMA,WA,984673207,US,2532284434,,6930 52ND AVE W,,TACOMA,WA,984673207,US,2532284434,,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,M,,,,,,225700000X,MA00024064,WA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000191,1,,,,WELTMAN,ALYSSA,,,,,,,,,,,,,,113 HILLCREST DRE,,SANFORD,NC,273304020,US,9197770240,,113 HILLCREST DRE,,SANFORD,NC,273304020,US,9197770240,,08/31/2007,8/31/2007,08/31/2007,8/31/2007,,,,,,F,,,,,,235Z00000X,1,NC,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000209,2,,<UNAVAIL>,KOPELMAN FAMILY CHIROPRACTIC INC,,,,,,,,,,,,,,,,411 MASS AVE,SUITE 102,ACTON,MA,017203739,US,9782630008,9782644462,411 MASS AVE,SUITE 102,ACTON,MA,017203739,US,9782630008,9782644462,08/30/2007,8/30/2007,10/15/2012,10/15/2012,,,,,,,KOPELMAN,DANIEL,L,PRESIDENT,6173886462,111N00000X,2660,MA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,DC,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000217,2,,<UNAVAIL>,"TRI-STATE EYE CARE CENTER, LTD.",,,,,,,,,,,,,,,,919 5TH AVE STE 100,,HUNTINGTON,WV,257012003,US,3045234819,3045255551,919 5TH AVE STE 100,,HUNTINGTON,WV,257012003,US,3045234819,3045255551,08/30/2007,8/30/2007,06/02/2008,6/2/2008,,,,,,,RATCLIFF,WILLIAM,L,OWNER,3045234819,152W00000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,OD,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000225,1,,,,MORGAN,ANNA,C.,DR.,,MD,,,,,,,,,,275 W MACARTHUR,,OAKLAND,CA,946115641,US,5107521000,,275 W MACARTHUR,,OAKLAND,CA,946115641,US,5107521000,,08/30/2007,8/30/2007,09/18/2014,9/18/2014,,,,,,F,,,,,,174400000X,A92262,CA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000233,2,,<UNAVAIL>,ROBERT SELIS DDS.INC,,,,,,,,,,,,,,,,3530 CAMINO DEL RIO N,109,SAN DIEGO,CA,921081743,US,6192832093,,3530 CAMINO DEL RIO N,109,SAN DIEGO,CA,921081743,US,6192832093,,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,,SELIS,ROBERT,R,DENTIST,6192832093,122300000X,18406,CA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,DDS,193200000X MULTI-SPECIALTY GROUP,,,,,,,,,,,,,,
1003000241,1,,,,PATTERSON,LESLIE,A,,,PTA,,,,,,,,,,403 PATTERSON RD,,NEW GALILEE,PA,161414613,US,7243365659,,251 GEORGETOWN RD.,,BEAVER FALLS,PA,15010,US,7248468200,7248472998,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,F,,,,,,225200000X,TE002850L,PA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000258,2,,<UNAVAIL>,LODI PHARMACY INC,,,,,,,LODI PHARMACY,3,,,,,,,,929 S CHEROKEE LN,,LODI,CA,952404304,US,2093657766,2093657733,929 S CHEROKEE LN,,LODI,CA,952404304,US,2093657766,2093657733,08/30/2007,8/30/2007,10/20/2014,10/20/2014,,,,,,,SAMRA,JASPAL,,DIRECTOR,2093657788,3336C0003X,PHY49902,CA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,
1003000266,1,,,,BUDIG,BEVERLY,,,,,,,,,,,,,,3331 POWER INN RD,SUITE 450,SACRAMENTO,CA,958263889,US,9168767624,,3331 POWER INN RD,SUITE 450,SACRAMENTO,CA,958263889,US,9168767624,,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,F,,,,,,251B00000X,,,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000274,2,,<UNAVAIL>,"WAEL ALABDULKARIM, MD, APMC",,,,,,,,,,,,,,,,116B HOSPITAL DR,,LAFAYETTE,LA,705032819,US,3372340630,3372340632,116B HOSPITAL DR,,LAFAYETTE,LA,705032819,US,3372340630,3372340632,08/30/2007,8/30/2007,02/08/2012,2/8/2012,,,,,,,ALABDULKARIM,WAEL,,OWNER,3372898414,2084N0400X,200595,LA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,MD,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000282,1,,,,BLAKEMORE,ROSIE,K,,,FNP,,,,,,,,,,TENNESSEE PRISON FOR WOMEN,3881 STEWARTS LANE,NASHVILLE,TN,372430001,US,6157411255,6157262181,TENNESSEE PRISON FOR WOMEN,3881 STEWARTS LANE,NASHVILLE,TN,372430001,US,6157411255,6157262181,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,F,,,,,,363LF0000X,APN0000005086,TN,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000290,2,,<UNAVAIL>,XCELLENT MEDICAL SERVICES INC,,,,,,,,,,,,,,,,3900 W FLAGLER ST,,CORAL GABLES,FL,331341608,US,3054760069,3054760070,3900 W FLAGLER ST,,CORAL GABLES,FL,331341608,US,3054760069,3054760070,08/30/2007,8/30/2007,04/20/2008,4/20/2008,,,,,,,RODRIGUEZ,ISR AEL,,PRESIDENT,3054760069,261Q00000X,HCC4227,FL,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,
1003000308,2,,<UNAVAIL>,"KEITH M DOCKERY, MD PC",,,,,,,"BUCKHEAD EAR, NOSE AND THROAT",3,,,,,,,,1800 PEACHTREE ST NW,SUITE 700,ATLANTA,GA,303092519,US,4043507966,4043507968,1800 PEACHTREE ST NW,SUITE 700,ATLANTA,GA,303092519,US,4043507966,4043507968,08/29/2007,8/29/2007,03/22/2011,3/22/2011,,,,,,,DILL,MELISSA,PARKS,PRACTICE MANAGER,4043507966,231H00000X,AUD003711,GA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MS.,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000316,2,,<UNAVAIL>,"ALEXANDER J. TIKHTMAN, M.D., P.S.C.",,,,,,,,,,,,,,,,1517 NICHOLASVILLE RD,SUITE 403,LEXINGTON,KY,405031429,US,8592766168,8592760850,1517 NICHOLASVILLE RD,SUITE 403,LEXINGTON,KY,405031429,US,8592766168,8592760850,08/29/2007,8/29/2007,07/11/2008,7/11/2008,,,,,,,TIKHTMAN,ALEXANDER,JACOB,PRESIDENT,8595360676,2084N0400X,KY27759,KY,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,MD,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000324,1,,,,RATH,MARY,COLLEEN,MS.,,"R.D., L.D., CNSC",,,,,,,,,,9500 EUCLID AVE,M17,CLEVELAND,OH,441950001,US,2164446986,,9500 EUCLID AVE,M17,CLEVELAND,OH,441950001,US,2164446986,,08/29/2007,8/29/2007,04/23/2012,4/23/2012,,,,,,F,,,,,,133V00000X,LD.6014,OH,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000332,1,,,,THACH,ESTHER,Y,,,,,,,,,,,,,2690 38TH AVE,,SAN FRANCISCO,CA,941162856,US,4157598536,,2690 38TH AVE,,SAN FRANCISCO,CA,941162856,US,4157598536,,08/29/2007,8/29/2007,08/29/2007,8/29/2007,,,,,,F,,,,,,171M00000X,,,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000340,1,,,,BLOWERS,TODD,,,,,,,,,,,,,,13795 KENWOOD DR,,BAXTER,MN,564258504,US,4353130686,,13795 KENWOOD DR,,BAXTER,MN,564258504,US,4353130686,,08/29/2007,8/29/2007,08/29/2007,8/29/2007,,,,,,M,,,,,,235Z00000X,ASHA01114077,MI,Y,235Z00000X,,,N,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000357,2,,<UNAVAIL>,"PODIATRY NETWORK SOLUTIONS OF LOUISIANA, LLC",,,,,,,,,,,,,,,,7220 NW 36TH ST,SUITE 103,MIAMI,FL,331666700,US,7869240044,3056678860,7220 NW 36TH ST,SUITE 103,MIAMI,FL,331666700,US,7869240044,3056678860,08/30/2007,8/30/2007,08/17/2011,8/17/2011,,,,,,,JOHNSON,RON,,PRESIDENT,7869240044,213E00000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000365,2,,<UNAVAIL>,NASHUA YOUTH COUNCIL INC,,,,,,,THE YOUTH COUNCIL,3,,,,,,,,112 WEST PEARL STREET,,NASHUA,NH,03060,US,6038891090,6035981703,112 WEST PEARL STREET,,NASHUA,NH,03060,US,6038891090,6035981703,08/30/2007,8/30/2007,07/24/2008,7/24/2008,,,,,,,BOYLE,NICOLE,,DIR OF QUALITY & COMPLIANCE,6038891090,261QM0855X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MS.,,,,,,,,,,,,,,,,,
1003000373,2,,<UNAVAIL>,BROWARD COUNTY DEPARTMENT OF HEALTH,,,,,,,,,,,,,,,,780 SW 24TH ST,,FORT LAUDERDALE,FL,333152643,US,9544674771,9544674704,780 SW 24TH ST,,FORT LAUDERDALE,FL,333152643,US,9544674771,9544674704,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,,ROACH,DAVID,L.,CHD DIRECTOR,9544674811,251K00000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,,,,,,,,,,,,,,,,
1003000381,1,,,,BRAGANZA,LUTHER,QUITORIANO,MR.,,PT,,,,,,,,,,10212 GRANITE CT,,LEESBURG,FL,347883130,US,3527516627,,134 N OLD DIXIE HWY,,LADY LAKE,FL,321594347,US,3527516627,,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,M,,,,,,225100000X,PT21044,FL,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000399,2,,<UNAVAIL>,"RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC",,,,,,,RECONSTRUCTIVE HAND SURGEONS OF INDIANA,4,,,,,,,,13431 OLD MERIDIAN STREET,SUITE 225,CARMEL,IN,46032,US,3172492616,3172492618,13431 OLD MERIDIAN STREET,SUITE 225,CARMEL,IN,46032,US,3172492616,3172492618,08/30/2007,8/30/2007,05/19/2014,5/19/2014,,,,,,,PANNUNZIO,MICHAEL,E,PARTNER,3172492616,207XS0106X,,IN,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,M.D.,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000407,1,,,,GIRARDI,DAVID,JAMES,,,D.O.,,,,,,,,,,100 HOSPITAL RD,,BROOKVILLE,PA,158251367,US,8148491434,8148491493,100 HOSPITAL RD,,BROOKVILLE,PA,158251367,US,8148491434,8148491493,08/29/2007,8/29/2007,06/02/2016,6/2/2016,,,,,,M,,,,,,207Q00000X,OS012940,PA,Y,208M00000X,OS012940,PA,N,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000415,1,,,,WEBSTER,MARSHALL,DEAN,DR.,,D.C.,,,,,,,,,,1478 SW SISTERS WELCOME RD,,LAKE CITY,FL,320251607,US,3865901752,3862699676,1478 SW SISTERS WELCOME RD,,LAKE CITY,FL,320251607,US,3865901752,3862699676,08/29/2007,8/29/2007,02/08/2017,2/8/2017,,,,,,M,,,,,,111N00000X,CH10056,FL,Y,111N00000X,CHIR008295,GA,N,111N00000X,3177,SC,N,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000423,1,,,,VELOTTA,JENNIFER,A,,,M.D.,,,,,,,,,,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,,,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,2168441000,,08/29/2007,8/29/2007,08/29/2007,8/29/2007,,,,,,F,,,,,,390200000X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000431,1,,,,HORNER,MICHELLE,SCHNABEL,DR.,,D.O.,,,SCHNABEL,MICHELLE,CATHERINE,,,,1,3811 OHARA ST,,PITTSBURGH,PA,152132593,US,(412) 383-8144,,5500 E LOMBARD ST,,BALTIMORE,MD,212241731,US,4105500091,,08/29/2007,8/29/2007,08/02/2017,8/2/2017,,,,,,F,,,,,,2084P0800X,H0079861,MD,N,2084P0804X,H0079861,MD,Y,2084P0804X,OS013638,PA,N,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000449,1,,,,EVANS,JACLYN,ANN,,,PSY.D.,,,,,,,,,,PO BOX 658,435 EAST MAIN STREET,ANSONIA,CT,064010658,US,2037362905,,435 E MAIN ST,,ANSONIA,CT,064011964,US,2037362905,,08/29/2007,8/29/2007,09/17/2009,9/17/2009,,,,,,F,,,,,,101YA0400X,,,N,101YM0800X,,,Y,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000456,1,,,,HOBAN,STACIE,ANN,MS.,,"MS, CCC-SLP",,,,,,,,,,300 OCEAN AVE,SPEECH AND LANGUAGE,REVERE,MA,021513675,US,7814856131,,300 OCEAN AVE,SPEECH AND LANGUAGE,REVERE,MA,021513675,US,7814856131,,08/29/2007,8/29/2007,08/29/2007,8/29/2007,,,,,,F,,,,,,235Z00000X,6638,MA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000464,1,,,,WOLF,LAUREL,,,,P.T.,,,,,,,,,,1837 RIDGE RD,,KLAMATH FALLS,OR,976035361,US,5418840376,,1837 RIDGE RD,,KLAMATH FALLS,OR,976035361,US,5418840376,,08/29/2007,8/29/2007,08/29/2007,8/29/2007,,,,,,F,,,,,,225100000X,21668,CA,N,225100000X,3434,WI,N,225100000X,1722,OR,Y,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000472,1,,,,FUENTES,EDGAR,,MR.,,,,,,,,,,,,5800 BELLAIRE BLVD,STE 112,HOUSTON,TX,770815537,US,7137717867,7137717869,5800 BELLAIRE BLVD,STE 112,HOUSTON,TX,770815537,US,7137717867,7137717869,08/29/2007,8/29/2007,08/24/2011,8/24/2011,,,,,,M,,,,,,156FX1800X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000480,1,,,,ROTHCHILD,KEVIN,BRADLEY,,,MD,,,,,,,,,,PO BOX 110429,,AURORA,CO,800420429,US,3034937000,,12605 E 16TH AVE,,AURORA,CO,800452545,US,3037242728,3037242761,08/29/2007,8/29/2007,04/20/2015,4/20/2015,,,,,,M,,,,,,208600000X,46091,CO,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000498,2,,<UNAVAIL>,BURDINE PHYSICAL THERAPY,,,,,,,BPTCARE,3,,,,,,,,P.O. BOX 1026,,HUNTSVILLE,AL,358072728,US,2565345946,2565343041,"311 LONGWOOD DR, SW",,HUNTSVILLE,AL,358012728,US,2565345946,2565343041,08/29/2007,8/29/2007,10/29/2012,10/29/2012,,,,,,,BURDINE,DOROTHY,I,OWNER/PHYSICAL THERAPIST,2565345946,261Q00000X,PTH2024,AL,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,PT,,,,,,,,,,,,,,,
1003000506,1,,,,BUTLER,KEISHA,L.,,,"M.A., LPC",,,,,,,,,,100 N CENTRAL EXPY,SUITE 400-8,DALLAS,TX,752014312,US,2142987647,4692274251,100 N CENTRAL EXPY,SUITE 400-8,DALLAS,TX,752014312,US,2142987647,4692274251,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,F,,,,,,101YP2500X,19723,TX,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000514,2,,<UNAVAIL>,SENIOR MANAGEMENT INC,,,,,,,BARRON CARE & REHAB,3,,,,,,,,660 E BIRCH AVE,,BARRON,WI,548129130,US,7155375643,7155371222,660 E BIRCH AVE,,BARRON,WI,548129130,US,7155375643,7155371222,08/29/2007,8/29/2007,01/10/2008,1/10/2008,,,,,,,THAYER,GRANT,DONALD,PRESIDENT,5076572231,314000000X,3038,WI,Y,,,,,,,,,,,,,,,,,,,,,,Y,SENIOR MANAGEMENT INC,<UNAVAIL>,MR.,,NHA,,,,,,,,,,,,,,,
1003000522,1,,,,WEIGAND,FREDERICK,J,DR.,,MD,,,,,,,,,,1565 SAXON BLVD STE 102,,DELTONA,FL,327255823,US,3869177395,3865327152,1565 SAXON BLVD,SUITE 102,DELTONA,FL,327255876,US,3869177395,3865327152,08/28/2007,8/28/2007,01/04/2016,1/4/2016,,,,,,M,,,,,,207QA0505X,ME13473,FL,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000530,1,,,,SEMONCHE,AMANDA,MARIE,,,DO,,,,,,,,,,1021 PARK AVE,SUITE 203,QUAKERTOWN,PA,18951,US,2155367998,,1021 PARK AVE,SUITE 203,QUAKERTOWN,PA,18951,US,2155367998,,08/28/2007,8/28/2007,09/14/2012,9/14/2012,,,,,,F,,,,,,207R00000X,OS014260,PA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000548,1,,,,ARANDA,PHILIP,,,,PTA,,,,,,,,,,1779 NACOGDOCHES RD APT 122,,SAN ANTONIO,TX,782092709,US,2107447482,,855 E BASSE RD,,SAN ANTONIO,TX,782091890,US,2108246280,,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,M,,,,,,225200000X,2023620,TX,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000555,1,,,,PATEL,MANISHA,AJIT,MRS.,,DPT,,,,,,,,,,1401 E STATE ST,,ROCKFORD,IL,611042315,US,8154894470,8154905858,1401 E STATE ST,,ROCKFORD,IL,611042315,US,8154894470,8154905858,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,F,,,,,,225100000X,070.01425,IL,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000563,2,,<UNAVAIL>,"RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION",,,,,,,,,,,,,,,,729 SUNRISE AVE,STE 619,ROSEVILLE,CA,956614548,US,9167837118,,729 SUNRISE AVE,STE 619,ROSEVILLE,CA,956614548,US,9167837118,,08/28/2007,8/28/2007,04/24/2014,4/24/2014,,,,,,,CHUN,RICHARD,B.,PRESIDENT,9167837118,207RG0100X,C28231,CA,N,261QP2300X,C28231,CA,Y,,,,,,,,,,,,,,,,,,N,,,MR.,,M. D.,193200000X MULTI-SPECIALTY GROUP,,,,,,,,,,,,,,
1003000571,2,,<UNAVAIL>,HOUSE OF CARE CENTER,,,,,,,,,,,,,,,,3744 BENTON BLVD,,KANSAS CITY,MO,641282515,US,8169216852,,3744 BENTON BLVD,,KANSAS CITY,MO,641282515,US,8169216852,,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,,IKPE,PHILOMINA,NONYEREM,ADMINISTRATOR,8169216852,323P00000X,034007,MO,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MRS.,,,,,,,,,,,,,,,,,
1003000589,1,,,,DAVIDSON,HOLLY,A,,,,,,,,,,,,,760 HARRISON ST,,SAN FRANCISCO,CA,941071235,US,4158361700,4158361737,760 HARRISON ST,,SAN FRANCISCO,CA,941071235,US,4158361700,4158361737,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,F,,,,,,390200000X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000597,1,,,,KIM,DAE,Y,DR.,,"M.D., PH.D",,,,,,,,,,1145 S UTICA AVE,SUITE 202,TULSA,OK,741044000,US,9185793130,9185793139,1145 S UTICA AVE,SUITE 202,TULSA,OK,741044000,US,9185793130,9185793139,08/28/2007,8/28/2007,07/15/2015,7/15/2015,,,,,,M,,,,,,208800000X,31577,OK,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000605,1,,,,FREEMAN,DIANE,ELIZABETH,MRS.,,OTR,,,DEAVER,DIANE,ELIZABETH,MISS,,OTR,1,11035 E RICHFIELD RD,,DAVISON,MI,484238517,US,8106542422,,11035 E RICHFIELD RD,,DAVISON,MI,484238517,US,8106542422,,08/28/2007,8/28/2007,04/26/2011,4/26/2011,,,,,,F,,,,,,174400000X,5201003946,MI,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000613,2,,<UNAVAIL>,"WHOLE HEALTH CHIROPRACTIC, PA",,,,,,,,,,,,,,,,430 W. IOWA AVE.,SUITE A,NAMPA,ID,836862856,US,2084421123,2084421127,430 W. IOWA AVE.,SUITE A,NAMPA,ID,836862856,US,2084421123,2084421127,08/28/2007,8/28/2007,04/20/2008,4/20/2008,,,,,,,PUTNAM,ERIKA,LYNN,OWNER,2084421123,111N00000X,CHIA-844,ID,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,DC,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000621,1,,,,DULLANO,DENNIS,,DR.,,D.C.,,,,,,,,,,1215 HERMITAGE RD,#2418,RICHMOND,VA,232201338,US,9042347704,,800 BUFFALO ST,SUITE B,FARMVILLE,VA,239011112,US,4343155868,4347369895,08/28/2007,8/28/2007,02/16/2011,2/16/2011,,,,,,M,,,,,,111N00000X,0104556571,VA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000639,1,,,,BENHARASH,PEYMAN,,DR.,,MD,,,,,,,,,,5767 W CENTURY BLVD,SUITE 400,LOS ANGELES,CA,900455631,US,3108259820,,UCLA CARDIOTHORACIC SURGERY 10833 LECONTE AVE,62-182 CHS,LOS ANGELES,CA,900950001,US,3108259820,,08/27/2007,8/27/2007,02/22/2011,2/22/2011,,,,,,M,,,,,,208600000X,A85379,CA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000647,1,,,,LEPORE,NICOLE,MARIE,MS.,,"MS, OTR",,,,,,,,,,20 FEN CT,,MADISON,NJ,079402317,US,,,20 FEN CT,,MADISON,NJ,079402317,US,2016027406,,08/28/2007,8/28/2007,03/01/2013,3/1/2013,,,,,,F,,,,,,225XP0200X,46TR00426800,NJ,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000654,1,,,,RHODES,CAROLINE,MARIE,DR.,,DDS,,,,,,,,,,20821 US HWY 281 SUITE 310,STONE OAK MODERN DENTISTRY,SAN ANTONIO,TX,78258,US,2104944488,,20821 US HWY 281 SUITE 310,STONE OAK MODERN DENTISTRY,SAN ANTONIO,TX,78258,US,2104944488,,08/28/2007,8/28/2007,06/10/2011,6/10/2011,,,,,,F,,,,,,1223G0001X,3531-09,MS,N,1223G0001X,26299,TX,Y,1223G0001X,55219,CA,N,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000662,1,,,,BAKER,KATHLEEN,ANN,,,,,,DIEHL,KATHLEEN,ANN,,,,5,1001 ROHLWING RD,,ELK GROVE VILLAGE,IL,600073217,US,8475248800,,1001 ROHLWING RD,,ELK GROVE VILLAGE,IL,600073217,US,8475248800,,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,F,,,,,,101YP2500X,,IL,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000670,2,,<UNAVAIL>,"DR. JEFF SNYDER, LLC",,,,,,,SNYDER FAMILY CHIROPRACTIC,3,,,,,,,,PO BOX 761,,OAKS,PA,194560761,US,6109355900,6109355933,1003A EGYPT ROAD,,OAKS,PA,19456,US,6109355900,6109355933,08/28/2007,8/28/2007,10/05/2007,10/5/2007,,,,,,,SNYDER,JEFFREY,SCOTT,OWNER,6103292273,111N00000X,DC007973L,PA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,D.C.,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000688,2,,<UNAVAIL>,HUSSKE CHIROPRACTIC CLINIC,,,,,,,,,,,,,,,,1265 COFFEEN AVE,,SHERIDAN,WY,828015325,US,3076747433,3076746808,1265 COFFEEN AVE,,SHERIDAN,WY,828015325,US,3076747433,3076746808,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,,HUSSKE,BRIAN,A,PROVIDER/OWNER,3076747433,111N00000X,488,WY,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,"D.C, C.C.S.P.",193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000696,2,,<UNAVAIL>,ALMOND BANCROFT SCHOOL DISTRICT,,,,,,,,,,,,,,,,1336 ELM ST,,ALMOND,WI,549099785,US,,,1336 ELM ST,,ALMOND,WI,549099785,US,7153662941,7153662940,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,,BOXX,DAN,,DISTRICT ADMINISTRATOR,7153662941,251300000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,,,,,,,,,,,,,,,,
1003000704,1,,,,GATTON,ZACHARY,MARK,,,M.D.,,,,,,,,,,1330 COSHOCTON AVE,,MOUNT VERNON,OH,430501440,US,7403939000,,1330 COSHOCTON AVE,,MOUNT VERNON,OH,430501440,US,7403936585,,09/05/2007,9/5/2007,09/16/2011,9/16/2011,,,,,,M,,,,,,207L00000X,35097335,OH,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000712,1,,,,MALLORY,SHEILA,ORALLO,MS.,,N. P.,,,,,,,,,,1867 E FIR AVE STE 104,,FRESNO,CA,937203841,US,5593255876,5593255838,1867 E FIR AVE STE 104,,FRESNO,CA,937203841,US,5593255876,5593255838,09/06/2007,9/6/2007,11/19/2008,11/19/2008,,,,,,F,,,,,,363LF0000X,11495,CA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000720,1,,,,HERNANDEZ,OTNIEL,,DR.,,DNP,,,,,,,,,,1275 W 47TH PL,SUITE 422,HIALEAH,FL,33012,US,3056762300,8886010076,1275 W 47TH PL,SUITE 422,HIALEAH,FL,330123394,US,3056762300,8886010076,09/06/2007,9/6/2007,05/03/2017,5/3/2017,,,,,,M,,,,,,363LF0000X,ARNP3081082,FL,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000738,1,,,,ZUMWALT,JULIETTE,A.,,,P.A.,,,,,,,,,,7401 S. MAIN,,HOUSTON,TX,77030,US,7137992300,7137943380,7401 S. MAIN,,HOUSTON,TX,770304509,US,7137992300,7137943380,09/06/2007,9/6/2007,08/11/2010,8/11/2010,,,,,,F,,,,,,363A00000X,PA05374,TX,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000746,1,,,,GALLEGOS,MIKE,LEE,,,PHARM D,,,,,,,,,,4236 NEW VISTAS CT NW,,ALBUQUERQUE,NM,871140706,US,,,4236 NEW VISTAS CT NW,,ALBUQUERQUE,NM,871140706,US,5054806327,,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,M,,,,,,183500000X,6838,NM,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000753,1,,,,DEITLE,JAMES,FRANCIS,,,PA-C,,,,,,,,,,501 N GRAHAM ST,SUITE #580,PORTLAND,OR,972271654,US,5035280704,5035280708,501 N GRAHAM ST,SUITE #580,PORTLAND,OR,972271654,US,5035280704,5035280708,09/05/2007,9/5/2007,01/22/2011,1/22/2011,,,,,,M,,,,,,363A00000X,664,AK,N,363A00000X,153509,OR,Y,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000761,1,,,,TAIMANGLO,PATRICIA,LEON GUERRERO,MS.,,PHD,,,PIER,PATRICIA,TAIMANGLO,MS.,,PHD,1,590 S MARINE CORPS DRIVE,SUITE 219 GITC BLDG,TAMUNING,GU,96914,US,6716492080,6716492082,590 S MARINE CORPS DRIVE,SUITE 219 GITC BLDG,TAMUNING,GU,96913,US,6716492080,6716492083,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,F,,,,,,103TC0700X,PSY705,HI,N,103TC0700X,CP000022,GU,Y,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000779,2,,<UNAVAIL>,MMC MEDICAL PARK AT 1635 POPLAR,,,,,,,,,,,,,,,,CMO,100 CORPORATE DRIVE,YONKERS,NY,10701,US,9143774722,,MMC MEDICAL PARK AT 1635 POPLAR,1635 POPLAR STREET,BRONX,NY,104612659,US,9143774722,,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,,DOWLING,MICHAEL,G,DIRECTOR,9143774668,261QP2300X,7000006H,NY,Y,,,,,,,,,,,,,,,,,,,,,,Y,MONTEFIORE MEDICAL CENTER,<UNAVAIL>,,,,,,,,,,,,,,,,,,
1003000787,1,,,,HYDE,CYNDI,ANNE,,,COTA,,,,,,,,,,2246 WATERFORD ST SE,,ALBANY,OR,973228877,US,5419053250,,1485 INTERNATIONAL PKWY STE 2051,,HEATHROW,FL,327465352,US,8007986035,,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,F,,,,,,224Z00000X,4566,WI,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000795,1,,,,O'NEILL,MICHAEL,JOSEPH,MR.,,LICSW,,,,,,,,,,1919 UNIVERSITY AVE W,,SAINT PAUL,MN,551043453,US,6512667900,6512667850,1919 UNIVERSITY AVE W,,SAINT PAUL,MN,551043453,US,6512667900,6512667850,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,M,,,,,,1041C0700X,17024,MN,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000803,2,,<UNAVAIL>,"CAMPBELL MEDICAL GROUP, MD, PSC",,,,,,,CAMPBELL MEDICAL GROUP,5,,,,,,,,303 PROFESSIONAL PARK DR,,GLASGOW,KY,421413487,US,2706293772,2706293774,303 PROFESSIONAL PARK DR,,GLASGOW,KY,421413487,US,2706293772,2706293774,09/05/2007,9/5/2007,12/05/2007,12/5/2007,,,,,,,GIBSON,JENNIFER,DALTON,OFFICE MANAGER,2706293772,207RA0000X,34221,KY,N,363L00000X,4716P,KY,N,207Q00000X,33935,KY,Y,,,,,,,,,,,,,,N,,,MS.,,RHIT,193400000X MULTIPLE SINGLE SPECIALTY GROUP,193400000X MULTIPLE SINGLE SPECIALTY GROUP,193400000X MULTIPLE SINGLE SPECIALTY GROUP,,,,,,,,,,,,
1003000811,2,,<UNAVAIL>,JOSEPH I KANG MD INC,,,,,,,,,,,,,,,,3755 BEVERLY BLVD,STE 301,LOS ANGELES,CA,900043539,US,3236647777,,3755 BEVERLY BLVD,STE 301,LOS ANGELES,CA,900043539,US,3236647777,,09/05/2007,9/5/2007,05/03/2017,5/3/2017,,,,,,,KANG,JOSEPH,I,DOCTOR,3236647777,207Q00000X,G34033,CA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,MD,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000829,1,,,,KOCHANEK,MICHELLE,RENEE,,,"PT, DPT",,,GARTNER,MICHELLE,RENEE,,,"PT, DPT",1,1325 S COLORADO BLVD STE 206,,DENVER,CO,802223311,US,3033943356,,1325 S COLORADO BLVD STE 206,,DENVER,CO,802223311,US,3033943356,,09/05/2007,9/5/2007,11/01/2013,11/1/2013,,,,,,F,,,,,,225100000X,PTL.0012104,CO,Y,225100000X,070015931,IL,N,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000837,1,,,,JOHN,RICHARD,L,,JR.,APRN,,,JOHN,RICHARD,L,,JR.,NP,2,1550 E. MAIN ST,MENTAL HEALTH,SANTA MARIA,CA,93254,US,8053546053,,1550 E MAIN ST,MENTAL HEALTH,SANTA MARIA,CA,934544819,US,8053546053,,09/05/2007,9/5/2007,11/24/2014,11/24/2014,,,,,,M,,,,,,363LF0000X,NPF 13309,CA,N,363LP0808X,NPF 13309,CA,Y,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000845,2,,<UNAVAIL>,JAMES D.SCHLENKER MDSC,,,,,,,PLASTIC SURGERY AND HAND SPECIALISTS,3,,,,,,,,6311 W 95TH ST,,OAK LAWN,IL,604532201,US,7084232258,7084232305,6311 W 95TH ST,,OAK LAWN,IL,604532201,US,7084232258,7084232305,09/05/2007,9/5/2007,03/22/2010,3/22/2010,,,,,,,SCHLENKER,JAMES,D,MEDICAL DIRECTOR,7084232258,174400000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,MD,193200000X MULTI-SPECIALTY GROUP,,,,,,,,,,,,,,
1003000852,1,,,,COYLE,TRIONA,,,,PSY.D.,,,,,,,,,,13666 E 14TH ST,,SAN LEANDRO,CA,945782538,US,,,13666 E 14TH ST,,SAN LEANDRO,CA,945782538,US,5103575515,,09/04/2007,9/4/2007,02/07/2014,2/7/2014,,,,,,F,,,,,,101YM0800X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000860,1,,,,BRENNAN,JANICE,M,MRS.,,APRN,,,,,,,,,,1 MEDICAL CENTER DR,DHMC DEPARTMENT OF OCCUPATION MEDICINE,LEBANON,NH,037561000,US,6035605000,6036500787,1 MEDICAL CENTER DR,DHMC DEPARTMENT OF OCCUPATION MEDICINE,LEBANON,NH,037561000,US,6035605000,6036500787,09/04/2007,9/4/2007,07/24/2009,7/24/2009,,,,,,F,,,,,,363LF0000X,012872-23-03,NH,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000878,1,,,,VEENSTRA,ELLEN,,MRS.,,M.A.,,,,,,,,,,312 E CEDAR AVE,UNIT J,BURBANK,CA,915021463,US,6165606674,,1540 E COLORADO ST,,GLENDALE,CA,912051514,US,8182447257,8182435431,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,F,,,,,,101Y00000X,,,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000886,1,,,,ARMSTRONG,MARGARET,E,,,LCSW,,,,,,,,,,1030 MIDDLE ST,,BATH,ME,045302221,US,,,329 BATH RD,,BRUNSWICK,ME,040112609,US,8004343000,,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,F,,,,,,1041C0700X,LC5060,ME,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000894,1,,,,KEHLE,SHANNON,MARIE,,,"PH.D., L.P.",,,,,,,,,,1 VETERANS DR,,MINNEAPOLIS,MN,554172309,US,6124671564,,1 VETERANS DR,,MINNEAPOLIS,MN,554172309,US,6124671564,,09/05/2007,9/5/2007,08/17/2009,8/17/2009,,,,,,F,,,,,,103TC0700X,LP5123,MN,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000902,1,,,,LOHANO,JAIVANTI,,,,MD,,,,,,,,,,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,5027748631,5027783499,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,5027748631,5027783499,09/04/2007,9/4/2007,02/22/2012,2/22/2012,,,,,,F,,,,,,207Q00000X,41402,KY,Y,207Q00000X,01063381A,IN,N,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000910,1,,,,BASS,MARTHA,BROWNSTEIN,MS.,,LICSW,,,,,,,,,,16 WAYLAND HILLS RD,,WAYLAND,MA,017783810,US,5086530451,5086536094,16 WAYLAND HILLS RD,,WAYLAND,MA,017783810,US,5086530451,5086536094,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,F,,,,,,1041C0700X,1022489,MA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000928,2,,<UNAVAIL>,"LARISSA GUSHANSKY, DDS INC.",,,,,,,,,,,,,,,,887 E 2ND ST,SUITE B,POMONA,CA,917662009,US,9098658595,,887 E 2ND ST,SUITE B,POMONA,CA,917662009,US,9098658595,,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,,GUSHANSKY,LARISSA,,PRESIDENT,3235639124,122300000X,36156,CA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000936,1,,,,STELLINGWORTH,MARK,A,,,MD,,,,,,,,,,PO BOX 743904,,ATLANTA,GA,303743904,US,8032967320,8032967330,8 RICHLAND MEDICAL PARK DR,SUITE 100,COLUMBIA,SC,292038005,US,8034343800,8037442759,09/04/2007,9/4/2007,11/02/2018,11/2/2018,,,,,,M,,,,,,207RC0000X,024969,LA,N,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000944,1,,,,DUSCHANE,ALANA,J,MS.,,,,,,,,,,,,400 S LOS ROBLES AVE UNIT 205,,PASADENA,CA,911013201,US,9098167562,,1540 E COLORADO ST,,GLENDALE,CA,912051514,US,8182447257,,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,F,,,,,,390200000X,,,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000951,1,,,,PAYNE,MACHEO,KAHIL,MR.,,,,,,,,,,,,4368 LINCOLN AVE,,OAKLAND,CA,946022529,US,5105313111,5105308083,9736 LAWLOR ST,,OAKLAND,CA,946054735,US,5105621052,,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,M,,,,,,101Y00000X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000969,2,,<UNAVAIL>,"CHIROPRACTIC CARE OF MINNESOTA, INC.",,,,,,,,,,,,,,,,1000 COUNTY ROAD E W,SUITE 230,SHOREVIEW,MN,551268054,US,6513892006,6513892009,1000 COUNTY ROAD E W,SUITE 230,SHOREVIEW,MN,551268054,US,6513892006,6513892009,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,,BARRETT,WILLIAM,,PRESIDENT,6513892006,302F00000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,DC,,,,,,,,,,,,,,,
1003000977,1,,,,DANNER,BARBARA,,,,,,,,,,,,,,423 AVE I,,CHILLICOTHE,TX,79225,US,,,423 AVE I,,CHILLICOTHE,TX,79225,US,9408525468,,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,F,,,,,,164X00000X,103256,TX,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000985,1,,,,GONSALVES,PATRICIA,MAE,MS.,,RN,,,,,,,,,,7001A EAST PKWY,SUITE 600,SACRAMENTO,CA,958232501,US,9168755000,,7171 BOWLING DR,SUITE 800,SACRAMENTO,CA,958232034,US,9168755000,,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,F,,,,,,163W00000X,197225,CA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000993,1,,,,MCMANNIS,STEPHEN,EDWARD,MR.,,,,,,,,,,,,312 N 45TH ST,,SEATTLE,WA,981036305,US,3307030373,,117 SW 160TH STREET,,BURIEN,WA,98166,US,2062422030,2062422018,09/04/2007,9/4/2007,12/11/2014,12/11/2014,,,,,,M,,,,,,183500000X,03129498,OH,N,183500000X,PH60444168,WA,Y,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003001009,2,,<UNAVAIL>,REGENTS OF UNIVERSITY OF CALIFORNIA,,,,,,,,,,,,,,,,19262 JAMBOREE RD,,IRVINE,CA,926122502,US,9498242343,9498248737,19262 JAMBOREE RD,,IRVINE,CA,926122502,US,9498242343,9498248737,09/12/2007,9/12/2007,09/14/2007,9/14/2007,,,,,,,KOTKIN,RONALD,A,CLINICAL PROFESSOR,9498246292,103TC2200X,PSY12351,CA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,PROF.,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003001017,1,,,,NICHOLS,LAWRENCE,MARTIN,DR.,,M.D,,,,,,,,,,5471 LA PALMA AVE,STE. 202,LA PALMA,CA,906231745,US,7145222041,7145228246,5471 LA PALMA AVE,STE. 202,LA PALMA,CA,906231745,US,7145222041,7145228246,09/12/2007,9/12/2007,09/23/2010,9/23/2010,,,,,,M,,,,,,207N00000X,A23444,CA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003001025,1,,,,BASS,MARIA,,,,,,,,,,,,,,9499 W CHARLESTON,SUITE 250,LAS VEGAS,NV,89117,US,7029333600,,9499 W CHARLESTON,#200 OSSM,LAS VEGAS,NV,89117,US,7029333600,7029333601,09/12/2007,9/12/2007,09/12/2007,9/12/2007,,,,,,F,,,,,,363AS0400X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003001033,2,,<UNAVAIL>,COUNTRY CARE INC,,,,,,,,,,,,,,,,5302 N 43RD PLACE,,PHOENIX,AZ,850181672,US,9282740702,6028089186,3980 E CASSIE LANE,,COTTONWOOD,AZ,86326,US,9286490434,9286490238,09/12/2007,9/12/2007,09/12/2007,9/12/2007,,,,,,,HARRIS,MICHAEL,THOMAS,PRESIDENT,9282740702,310400000X,ALH4144,AZ,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,,,,,,,,,,,,,,,,
1003001041,1,,,,MILLER,KATHLEEN,,,,CRNA,,,,,,,,,,2800 PATTERSON DR,,ALIQUIPPA,PA,150011129,US,7243751919,,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,7247734621,7247734696,09/12/2007,9/12/2007,09/12/2007,9/12/2007,,,,,,F,,,,,,367500000X,RN522303L,PA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003001058,1,,,,BELANGER,AYUMI,E,MS.,,PA-C,,,,,,,,,,PO BOX 1978,,MIDDLEBURG,FL,320501978,US,9042826331,9042821550,91 BRANSCOMB RD,SUITE 3,GREEN COVE SPRINGS,FL,320437223,US,9048611034,9048611037,09/12/2007,9/12/2007,06/19/2017,6/19/2017,,,,,,F,,,,,,363AM0700X,PA 9104224,FL,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003001066,2,,<UNAVAIL>,WOMENS HEALTH SERVICES CHATTANOOGA PC,,,,,,,ASSOCIATES IN WOMENS HEALTH,3,,,,,,,,6845 MOUNTAIN VIEW RD,,OOLTEWAH,TN,373636561,US,4239100896,4239101183,6845 MOUNTAIN VIEW RD,,OOLTEWAH,TN,373636561,US,4239100896,4239101183,09/12/2007,9/12/2007,06/24/2016,6/24/2016,,,,,,,JOHNSON,KIM,T,OFFICE MANAGER,7068614508,174400000X,=========,TN,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MS.,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003001074,1,,,,MATTIS,DALIA,,DR.,,ED D,,,,,,,,,,5450 NW CENTRAL DR STE 109,,HOUSTON,TX,770922024,US,7138950062,7138950062,5450 NW CENTRAL DR STE 109,,HOUSTON,TX,770922024,US,7138950062,7138950062,09/12/2007,9/12/2007,09/12/2007,9/12/2007,,,,,,F,,,,,,101Y00000X,17843,TX,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003001082,2,,<UNAVAIL>,COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC,,,,,,,,,,,,,,,,1300 W MARKET ST,,SMITHFIELD,NC,275773339,US,9199891786,9199891791,212 BRIDGE ST,,SMITHFIELD,NC,275773963,US,9199384344,9199384342,09/12/2007,9/12/2007,09/12/2007,9/12/2007,,,,,,,WISE,JANET,M,EXECUTIVE DIRECTOR,9199891786,251S00000X,MHL 051 161,NC,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,,,,,,,,,,,,,,,,
1003001090,2,,<UNAVAIL>,EDWARD HAGUE,,,,,,,SPINAL REHABILITATION CENTER,3,,,,,,,,1501 N ELM ST,,DENTON,TX,762013021,US,9404848309,9403238666,1501 N ELM ST,,DENTON,TX,762013021,US,9404848309,9403238666,09/12/2007,9/12/2007,07/14/2008,7/14/2008,,,,,,,HAGUE,EDWARD,HUGH,OWNER/CHIROPRACTOR,9404846336,111N00000X,10502,TX,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,D.C.,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
 
 
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#2
24-02-25, 11:02 AM
Thanks bro
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#3
25-02-25, 04:30 AM
awDawdadw
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13-03-25, 08:01 AM
Thanks
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#5
21-04-25, 06:05 AM (This post was last modified: 21-04-25, 06:06 AM by synyeung.)
Thank you, boss. Let me have a look at what there is.
The link is broken and there is nothing inside.
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#6
22-04-25, 06:56 PM (This post was last modified: 22-04-25, 07:07 PM by rockalber.)
Thank you so much letme see if i can make use of it
bro link isn't working please update
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#7
23-04-25, 05:27 PM
thanks
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02-05-25, 02:12 PM
thank you
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#9
12-05-25, 11:47 PM
Thnx for sharing
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#10
22-07-25, 05:26 AM
(01-02-25, 10:14 PM)0mid16B Wrote:
[Image: 2ZhiVNs.png]

On 16th Jan 2025, i conducted a supply chain attack on the Controlled Substance Monitoring system of APEX Custom Software, Inc (apexcustomsoftware.com) - a healthcare and pharmacy software provider in Texas United States, and stole CSMP databases, affecting hundreds of its pharmacy and healthcare clients. The data is as recent as 18th Jan 2025.
SAMPLE
Code:
NPI,entity,replacement_npi,ein,porgname,plname,pfname,pmname,pnameprefix,pnamesuffix,pcredential,porgnameoth,porgnameothcode,plnameoth,pfnameoth,pmnameoth,pnameprefixoth,pnamesuffixoth,pcredentialoth,plnamecode,pmailline1,pmailline2,pmailcityname,pmailstatename,pmailzip,pmailcountry,pmailtel,pmailfax,plocline1,plocline2,ploccityname,plocstatename,ploczip,ploccountry,ploctel,plocfax,penumdatestr,penumdate,lastupdatestr,lastupdate,npideactreason,npideactdatestr,npideactdate,npireactdatestr,npireactdate,pgender,aolname,aofname,aomname,aotitle,aotelnum,ptaxcode1,plicnum1,plicstate1,pprimtax1,ptaxcode2,plicnum2,plicstate2,pprimtax2,ptaxcode3,plicnum3,plicstate3,pprimtax3,ptaxcode4,plicnum4,plicstate4,pprimtax4,ptaxcode5,plicnum5,plicstate5,pprimtax5,ptaxcode6,plicnum6,plicstate6,pprimtax6,soleprop,orgsubpart,parent_org_lbn,parent_org_tin,aoname_prefix,aoname_suffix,aocredential,ptaxgroup1,ptaxgroup2,ptaxgroup3,ptaxgroup4,ptaxgroup5,ptaxgroup6,ptaxgroup7,ptaxgroup8,ptaxgroup9,ptaxgroup10,ptaxgroup11,ptaxgroup12,ptaxgroup13,ptaxgroup14,ptaxgroup15[/align]
1003000100,1,,,,GOMEZ,GERARDO,,,,,,,,,,,,,,680 S WILTON PL,,LOS ANGELES,CA,900053200,US,2133657400,2133831280,680 S WILTON PL,,LOS ANGELES,CA,900053200,US,2133657400,2133831280,08/31/2007,8/31/2007,08/31/2007,8/31/2007,,,,,,M,,,,,,171M00000X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000118,2,,<UNAVAIL>,STEVEN ENGEL PEDIATRICS,,,,,,,,,,,,,,,,1700 NEUSE BLVD,,NEW BERN,NC,285602304,US,2526373799,2526330944,1700 NEUSE BLVD,,NEW BERN,NC,285602304,US,2526373799,2526330944,08/31/2007,8/31/2007,08/31/2007,8/31/2007,,,,,,,BRANTON,JESSICA,L,OFFICE MANAGER,2526373799,208000000X,20789,NC,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000126,1,,,,ENKESHAFI,ARDALAN,,,,M.D.,,,,,,,,,,313 SKYVIEW DR,,CUMBERLAND,MD,215021929,US,4436026207,,900 SETON DR,,CUMBERLAND,MD,215021854,US,3017234000,,08/31/2007,8/31/2007,09/11/2009,9/11/2009,,,,,,M,,,,,,207R00000X,D0068455,MD,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000134,1,,,,CIBULL,THOMAS,LEE,DR.,,M.D.,,,,,,,,,,2650 RIDGE AVE,EVANSTON HOSPITAL,EVANSTON,IL,602011718,US,8475702040,8477335315,2650 RIDGE AVE,EVANSTON HOSPITAL,EVANSTON,IL,602011718,US,8475702040,8477335315,08/31/2007,8/31/2007,08/06/2008,8/6/2008,,,,,,M,,,,,,207ZP0102X,036120492,IL,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000142,1,,,,KHALIL,RASHID,,,,M.D.,,,,,,,,,,2200 JEFFERSON AVE,4TH FLOOR,TOLEDO,OH,436047101,US,,,4126 N HOLLAND SYLVANIA RD,SUITE 220,TOLEDO,OH,436233536,US,4195177624,4195177656,08/31/2007,8/31/2007,08/03/2015,8/3/2015,,,,,,M,,,,,,207L00000X,35096817,OH,Y,207LP2900X,4301093657,MI,N,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000159,1,,,,VOGES,MARSHA,SUSAN,,,FNP,,,,,,,,,,4115 DORCHESTER ROAD,CONCENTRA,CHARLESTON,SC,29405,US,8435546737,8435543356,4115 DORCHESTER ROAD,CONCENTRA MEDICAL CENTER,CHARLESTON,SC,29405,US,8435546737,8435543356,08/31/2007,8/31/2007,10/29/2009,10/29/2009,,,,,,F,,,,,,363LF0000X,810,SC,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000167,1,,,,ESCOBAR,JULIO,EDGARDO,DR.,,DDS,,,,,,,,,,5 PINE CONE RD,,DAYTON,NV,894037482,US,7752207788,,5 PINE CONE RD,,DAYTON,NV,894037482,US,7752207788,,08/31/2007,8/31/2007,05/12/2010,5/12/2010,,,,,,M,,,,,,122300000X,5572,NV,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000175,1,,,,REYES-VASQUEZ,BELINDA,,DR.,,D.D.S.,,,,,,,,,,4727 SILVER TIP DR,,WHITTIER,CA,906011763,US,6263785315,,322 N AZUSA AVE STE 202,,LA PUENTE,CA,917444648,US,6265810800,6265810591,08/31/2007,8/31/2007,01/27/2012,1/27/2012,,,,,,F,,,,,,122300000X,56153,CA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000183,1,,,,CYPHERS,DENNIS,JAMES,MR.,,L.M.P,,,,,,,,,,6930 52ND AVE W,,TACOMA,WA,984673207,US,2532284434,,6930 52ND AVE W,,TACOMA,WA,984673207,US,2532284434,,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,M,,,,,,225700000X,MA00024064,WA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000191,1,,,,WELTMAN,ALYSSA,,,,,,,,,,,,,,113 HILLCREST DRE,,SANFORD,NC,273304020,US,9197770240,,113 HILLCREST DRE,,SANFORD,NC,273304020,US,9197770240,,08/31/2007,8/31/2007,08/31/2007,8/31/2007,,,,,,F,,,,,,235Z00000X,1,NC,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000209,2,,<UNAVAIL>,KOPELMAN FAMILY CHIROPRACTIC INC,,,,,,,,,,,,,,,,411 MASS AVE,SUITE 102,ACTON,MA,017203739,US,9782630008,9782644462,411 MASS AVE,SUITE 102,ACTON,MA,017203739,US,9782630008,9782644462,08/30/2007,8/30/2007,10/15/2012,10/15/2012,,,,,,,KOPELMAN,DANIEL,L,PRESIDENT,6173886462,111N00000X,2660,MA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,DC,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000217,2,,<UNAVAIL>,"TRI-STATE EYE CARE CENTER, LTD.",,,,,,,,,,,,,,,,919 5TH AVE STE 100,,HUNTINGTON,WV,257012003,US,3045234819,3045255551,919 5TH AVE STE 100,,HUNTINGTON,WV,257012003,US,3045234819,3045255551,08/30/2007,8/30/2007,06/02/2008,6/2/2008,,,,,,,RATCLIFF,WILLIAM,L,OWNER,3045234819,152W00000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,OD,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000225,1,,,,MORGAN,ANNA,C.,DR.,,MD,,,,,,,,,,275 W MACARTHUR,,OAKLAND,CA,946115641,US,5107521000,,275 W MACARTHUR,,OAKLAND,CA,946115641,US,5107521000,,08/30/2007,8/30/2007,09/18/2014,9/18/2014,,,,,,F,,,,,,174400000X,A92262,CA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000233,2,,<UNAVAIL>,ROBERT SELIS DDS.INC,,,,,,,,,,,,,,,,3530 CAMINO DEL RIO N,109,SAN DIEGO,CA,921081743,US,6192832093,,3530 CAMINO DEL RIO N,109,SAN DIEGO,CA,921081743,US,6192832093,,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,,SELIS,ROBERT,R,DENTIST,6192832093,122300000X,18406,CA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,DDS,193200000X MULTI-SPECIALTY GROUP,,,,,,,,,,,,,,
1003000241,1,,,,PATTERSON,LESLIE,A,,,PTA,,,,,,,,,,403 PATTERSON RD,,NEW GALILEE,PA,161414613,US,7243365659,,251 GEORGETOWN RD.,,BEAVER FALLS,PA,15010,US,7248468200,7248472998,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,F,,,,,,225200000X,TE002850L,PA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000258,2,,<UNAVAIL>,LODI PHARMACY INC,,,,,,,LODI PHARMACY,3,,,,,,,,929 S CHEROKEE LN,,LODI,CA,952404304,US,2093657766,2093657733,929 S CHEROKEE LN,,LODI,CA,952404304,US,2093657766,2093657733,08/30/2007,8/30/2007,10/20/2014,10/20/2014,,,,,,,SAMRA,JASPAL,,DIRECTOR,2093657788,3336C0003X,PHY49902,CA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,
1003000266,1,,,,BUDIG,BEVERLY,,,,,,,,,,,,,,3331 POWER INN RD,SUITE 450,SACRAMENTO,CA,958263889,US,9168767624,,3331 POWER INN RD,SUITE 450,SACRAMENTO,CA,958263889,US,9168767624,,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,F,,,,,,251B00000X,,,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000274,2,,<UNAVAIL>,"WAEL ALABDULKARIM, MD, APMC",,,,,,,,,,,,,,,,116B HOSPITAL DR,,LAFAYETTE,LA,705032819,US,3372340630,3372340632,116B HOSPITAL DR,,LAFAYETTE,LA,705032819,US,3372340630,3372340632,08/30/2007,8/30/2007,02/08/2012,2/8/2012,,,,,,,ALABDULKARIM,WAEL,,OWNER,3372898414,2084N0400X,200595,LA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,MD,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000282,1,,,,BLAKEMORE,ROSIE,K,,,FNP,,,,,,,,,,TENNESSEE PRISON FOR WOMEN,3881 STEWARTS LANE,NASHVILLE,TN,372430001,US,6157411255,6157262181,TENNESSEE PRISON FOR WOMEN,3881 STEWARTS LANE,NASHVILLE,TN,372430001,US,6157411255,6157262181,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,F,,,,,,363LF0000X,APN0000005086,TN,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000290,2,,<UNAVAIL>,XCELLENT MEDICAL SERVICES INC,,,,,,,,,,,,,,,,3900 W FLAGLER ST,,CORAL GABLES,FL,331341608,US,3054760069,3054760070,3900 W FLAGLER ST,,CORAL GABLES,FL,331341608,US,3054760069,3054760070,08/30/2007,8/30/2007,04/20/2008,4/20/2008,,,,,,,RODRIGUEZ,ISR AEL,,PRESIDENT,3054760069,261Q00000X,HCC4227,FL,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,
1003000308,2,,<UNAVAIL>,"KEITH M DOCKERY, MD PC",,,,,,,"BUCKHEAD EAR, NOSE AND THROAT",3,,,,,,,,1800 PEACHTREE ST NW,SUITE 700,ATLANTA,GA,303092519,US,4043507966,4043507968,1800 PEACHTREE ST NW,SUITE 700,ATLANTA,GA,303092519,US,4043507966,4043507968,08/29/2007,8/29/2007,03/22/2011,3/22/2011,,,,,,,DILL,MELISSA,PARKS,PRACTICE MANAGER,4043507966,231H00000X,AUD003711,GA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MS.,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000316,2,,<UNAVAIL>,"ALEXANDER J. TIKHTMAN, M.D., P.S.C.",,,,,,,,,,,,,,,,1517 NICHOLASVILLE RD,SUITE 403,LEXINGTON,KY,405031429,US,8592766168,8592760850,1517 NICHOLASVILLE RD,SUITE 403,LEXINGTON,KY,405031429,US,8592766168,8592760850,08/29/2007,8/29/2007,07/11/2008,7/11/2008,,,,,,,TIKHTMAN,ALEXANDER,JACOB,PRESIDENT,8595360676,2084N0400X,KY27759,KY,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,MD,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000324,1,,,,RATH,MARY,COLLEEN,MS.,,"R.D., L.D., CNSC",,,,,,,,,,9500 EUCLID AVE,M17,CLEVELAND,OH,441950001,US,2164446986,,9500 EUCLID AVE,M17,CLEVELAND,OH,441950001,US,2164446986,,08/29/2007,8/29/2007,04/23/2012,4/23/2012,,,,,,F,,,,,,133V00000X,LD.6014,OH,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000332,1,,,,THACH,ESTHER,Y,,,,,,,,,,,,,2690 38TH AVE,,SAN FRANCISCO,CA,941162856,US,4157598536,,2690 38TH AVE,,SAN FRANCISCO,CA,941162856,US,4157598536,,08/29/2007,8/29/2007,08/29/2007,8/29/2007,,,,,,F,,,,,,171M00000X,,,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000340,1,,,,BLOWERS,TODD,,,,,,,,,,,,,,13795 KENWOOD DR,,BAXTER,MN,564258504,US,4353130686,,13795 KENWOOD DR,,BAXTER,MN,564258504,US,4353130686,,08/29/2007,8/29/2007,08/29/2007,8/29/2007,,,,,,M,,,,,,235Z00000X,ASHA01114077,MI,Y,235Z00000X,,,N,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000357,2,,<UNAVAIL>,"PODIATRY NETWORK SOLUTIONS OF LOUISIANA, LLC",,,,,,,,,,,,,,,,7220 NW 36TH ST,SUITE 103,MIAMI,FL,331666700,US,7869240044,3056678860,7220 NW 36TH ST,SUITE 103,MIAMI,FL,331666700,US,7869240044,3056678860,08/30/2007,8/30/2007,08/17/2011,8/17/2011,,,,,,,JOHNSON,RON,,PRESIDENT,7869240044,213E00000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000365,2,,<UNAVAIL>,NASHUA YOUTH COUNCIL INC,,,,,,,THE YOUTH COUNCIL,3,,,,,,,,112 WEST PEARL STREET,,NASHUA,NH,03060,US,6038891090,6035981703,112 WEST PEARL STREET,,NASHUA,NH,03060,US,6038891090,6035981703,08/30/2007,8/30/2007,07/24/2008,7/24/2008,,,,,,,BOYLE,NICOLE,,DIR OF QUALITY & COMPLIANCE,6038891090,261QM0855X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MS.,,,,,,,,,,,,,,,,,
1003000373,2,,<UNAVAIL>,BROWARD COUNTY DEPARTMENT OF HEALTH,,,,,,,,,,,,,,,,780 SW 24TH ST,,FORT LAUDERDALE,FL,333152643,US,9544674771,9544674704,780 SW 24TH ST,,FORT LAUDERDALE,FL,333152643,US,9544674771,9544674704,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,,ROACH,DAVID,L.,CHD DIRECTOR,9544674811,251K00000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,,,,,,,,,,,,,,,,
1003000381,1,,,,BRAGANZA,LUTHER,QUITORIANO,MR.,,PT,,,,,,,,,,10212 GRANITE CT,,LEESBURG,FL,347883130,US,3527516627,,134 N OLD DIXIE HWY,,LADY LAKE,FL,321594347,US,3527516627,,08/30/2007,8/30/2007,08/30/2007,8/30/2007,,,,,,M,,,,,,225100000X,PT21044,FL,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000399,2,,<UNAVAIL>,"RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC",,,,,,,RECONSTRUCTIVE HAND SURGEONS OF INDIANA,4,,,,,,,,13431 OLD MERIDIAN STREET,SUITE 225,CARMEL,IN,46032,US,3172492616,3172492618,13431 OLD MERIDIAN STREET,SUITE 225,CARMEL,IN,46032,US,3172492616,3172492618,08/30/2007,8/30/2007,05/19/2014,5/19/2014,,,,,,,PANNUNZIO,MICHAEL,E,PARTNER,3172492616,207XS0106X,,IN,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,M.D.,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000407,1,,,,GIRARDI,DAVID,JAMES,,,D.O.,,,,,,,,,,100 HOSPITAL RD,,BROOKVILLE,PA,158251367,US,8148491434,8148491493,100 HOSPITAL RD,,BROOKVILLE,PA,158251367,US,8148491434,8148491493,08/29/2007,8/29/2007,06/02/2016,6/2/2016,,,,,,M,,,,,,207Q00000X,OS012940,PA,Y,208M00000X,OS012940,PA,N,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000415,1,,,,WEBSTER,MARSHALL,DEAN,DR.,,D.C.,,,,,,,,,,1478 SW SISTERS WELCOME RD,,LAKE CITY,FL,320251607,US,3865901752,3862699676,1478 SW SISTERS WELCOME RD,,LAKE CITY,FL,320251607,US,3865901752,3862699676,08/29/2007,8/29/2007,02/08/2017,2/8/2017,,,,,,M,,,,,,111N00000X,CH10056,FL,Y,111N00000X,CHIR008295,GA,N,111N00000X,3177,SC,N,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000423,1,,,,VELOTTA,JENNIFER,A,,,M.D.,,,,,,,,,,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,,,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,2168441000,,08/29/2007,8/29/2007,08/29/2007,8/29/2007,,,,,,F,,,,,,390200000X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000431,1,,,,HORNER,MICHELLE,SCHNABEL,DR.,,D.O.,,,SCHNABEL,MICHELLE,CATHERINE,,,,1,3811 OHARA ST,,PITTSBURGH,PA,152132593,US,(412) 383-8144,,5500 E LOMBARD ST,,BALTIMORE,MD,212241731,US,4105500091,,08/29/2007,8/29/2007,08/02/2017,8/2/2017,,,,,,F,,,,,,2084P0800X,H0079861,MD,N,2084P0804X,H0079861,MD,Y,2084P0804X,OS013638,PA,N,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000449,1,,,,EVANS,JACLYN,ANN,,,PSY.D.,,,,,,,,,,PO BOX 658,435 EAST MAIN STREET,ANSONIA,CT,064010658,US,2037362905,,435 E MAIN ST,,ANSONIA,CT,064011964,US,2037362905,,08/29/2007,8/29/2007,09/17/2009,9/17/2009,,,,,,F,,,,,,101YA0400X,,,N,101YM0800X,,,Y,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000456,1,,,,HOBAN,STACIE,ANN,MS.,,"MS, CCC-SLP",,,,,,,,,,300 OCEAN AVE,SPEECH AND LANGUAGE,REVERE,MA,021513675,US,7814856131,,300 OCEAN AVE,SPEECH AND LANGUAGE,REVERE,MA,021513675,US,7814856131,,08/29/2007,8/29/2007,08/29/2007,8/29/2007,,,,,,F,,,,,,235Z00000X,6638,MA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000464,1,,,,WOLF,LAUREL,,,,P.T.,,,,,,,,,,1837 RIDGE RD,,KLAMATH FALLS,OR,976035361,US,5418840376,,1837 RIDGE RD,,KLAMATH FALLS,OR,976035361,US,5418840376,,08/29/2007,8/29/2007,08/29/2007,8/29/2007,,,,,,F,,,,,,225100000X,21668,CA,N,225100000X,3434,WI,N,225100000X,1722,OR,Y,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000472,1,,,,FUENTES,EDGAR,,MR.,,,,,,,,,,,,5800 BELLAIRE BLVD,STE 112,HOUSTON,TX,770815537,US,7137717867,7137717869,5800 BELLAIRE BLVD,STE 112,HOUSTON,TX,770815537,US,7137717867,7137717869,08/29/2007,8/29/2007,08/24/2011,8/24/2011,,,,,,M,,,,,,156FX1800X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000480,1,,,,ROTHCHILD,KEVIN,BRADLEY,,,MD,,,,,,,,,,PO BOX 110429,,AURORA,CO,800420429,US,3034937000,,12605 E 16TH AVE,,AURORA,CO,800452545,US,3037242728,3037242761,08/29/2007,8/29/2007,04/20/2015,4/20/2015,,,,,,M,,,,,,208600000X,46091,CO,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000498,2,,<UNAVAIL>,BURDINE PHYSICAL THERAPY,,,,,,,BPTCARE,3,,,,,,,,P.O. BOX 1026,,HUNTSVILLE,AL,358072728,US,2565345946,2565343041,"311 LONGWOOD DR, SW",,HUNTSVILLE,AL,358012728,US,2565345946,2565343041,08/29/2007,8/29/2007,10/29/2012,10/29/2012,,,,,,,BURDINE,DOROTHY,I,OWNER/PHYSICAL THERAPIST,2565345946,261Q00000X,PTH2024,AL,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,PT,,,,,,,,,,,,,,,
1003000506,1,,,,BUTLER,KEISHA,L.,,,"M.A., LPC",,,,,,,,,,100 N CENTRAL EXPY,SUITE 400-8,DALLAS,TX,752014312,US,2142987647,4692274251,100 N CENTRAL EXPY,SUITE 400-8,DALLAS,TX,752014312,US,2142987647,4692274251,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,F,,,,,,101YP2500X,19723,TX,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000514,2,,<UNAVAIL>,SENIOR MANAGEMENT INC,,,,,,,BARRON CARE & REHAB,3,,,,,,,,660 E BIRCH AVE,,BARRON,WI,548129130,US,7155375643,7155371222,660 E BIRCH AVE,,BARRON,WI,548129130,US,7155375643,7155371222,08/29/2007,8/29/2007,01/10/2008,1/10/2008,,,,,,,THAYER,GRANT,DONALD,PRESIDENT,5076572231,314000000X,3038,WI,Y,,,,,,,,,,,,,,,,,,,,,,Y,SENIOR MANAGEMENT INC,<UNAVAIL>,MR.,,NHA,,,,,,,,,,,,,,,
1003000522,1,,,,WEIGAND,FREDERICK,J,DR.,,MD,,,,,,,,,,1565 SAXON BLVD STE 102,,DELTONA,FL,327255823,US,3869177395,3865327152,1565 SAXON BLVD,SUITE 102,DELTONA,FL,327255876,US,3869177395,3865327152,08/28/2007,8/28/2007,01/04/2016,1/4/2016,,,,,,M,,,,,,207QA0505X,ME13473,FL,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000530,1,,,,SEMONCHE,AMANDA,MARIE,,,DO,,,,,,,,,,1021 PARK AVE,SUITE 203,QUAKERTOWN,PA,18951,US,2155367998,,1021 PARK AVE,SUITE 203,QUAKERTOWN,PA,18951,US,2155367998,,08/28/2007,8/28/2007,09/14/2012,9/14/2012,,,,,,F,,,,,,207R00000X,OS014260,PA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000548,1,,,,ARANDA,PHILIP,,,,PTA,,,,,,,,,,1779 NACOGDOCHES RD APT 122,,SAN ANTONIO,TX,782092709,US,2107447482,,855 E BASSE RD,,SAN ANTONIO,TX,782091890,US,2108246280,,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,M,,,,,,225200000X,2023620,TX,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000555,1,,,,PATEL,MANISHA,AJIT,MRS.,,DPT,,,,,,,,,,1401 E STATE ST,,ROCKFORD,IL,611042315,US,8154894470,8154905858,1401 E STATE ST,,ROCKFORD,IL,611042315,US,8154894470,8154905858,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,F,,,,,,225100000X,070.01425,IL,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000563,2,,<UNAVAIL>,"RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION",,,,,,,,,,,,,,,,729 SUNRISE AVE,STE 619,ROSEVILLE,CA,956614548,US,9167837118,,729 SUNRISE AVE,STE 619,ROSEVILLE,CA,956614548,US,9167837118,,08/28/2007,8/28/2007,04/24/2014,4/24/2014,,,,,,,CHUN,RICHARD,B.,PRESIDENT,9167837118,207RG0100X,C28231,CA,N,261QP2300X,C28231,CA,Y,,,,,,,,,,,,,,,,,,N,,,MR.,,M. D.,193200000X MULTI-SPECIALTY GROUP,,,,,,,,,,,,,,
1003000571,2,,<UNAVAIL>,HOUSE OF CARE CENTER,,,,,,,,,,,,,,,,3744 BENTON BLVD,,KANSAS CITY,MO,641282515,US,8169216852,,3744 BENTON BLVD,,KANSAS CITY,MO,641282515,US,8169216852,,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,,IKPE,PHILOMINA,NONYEREM,ADMINISTRATOR,8169216852,323P00000X,034007,MO,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MRS.,,,,,,,,,,,,,,,,,
1003000589,1,,,,DAVIDSON,HOLLY,A,,,,,,,,,,,,,760 HARRISON ST,,SAN FRANCISCO,CA,941071235,US,4158361700,4158361737,760 HARRISON ST,,SAN FRANCISCO,CA,941071235,US,4158361700,4158361737,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,F,,,,,,390200000X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000597,1,,,,KIM,DAE,Y,DR.,,"M.D., PH.D",,,,,,,,,,1145 S UTICA AVE,SUITE 202,TULSA,OK,741044000,US,9185793130,9185793139,1145 S UTICA AVE,SUITE 202,TULSA,OK,741044000,US,9185793130,9185793139,08/28/2007,8/28/2007,07/15/2015,7/15/2015,,,,,,M,,,,,,208800000X,31577,OK,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000605,1,,,,FREEMAN,DIANE,ELIZABETH,MRS.,,OTR,,,DEAVER,DIANE,ELIZABETH,MISS,,OTR,1,11035 E RICHFIELD RD,,DAVISON,MI,484238517,US,8106542422,,11035 E RICHFIELD RD,,DAVISON,MI,484238517,US,8106542422,,08/28/2007,8/28/2007,04/26/2011,4/26/2011,,,,,,F,,,,,,174400000X,5201003946,MI,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000613,2,,<UNAVAIL>,"WHOLE HEALTH CHIROPRACTIC, PA",,,,,,,,,,,,,,,,430 W. IOWA AVE.,SUITE A,NAMPA,ID,836862856,US,2084421123,2084421127,430 W. IOWA AVE.,SUITE A,NAMPA,ID,836862856,US,2084421123,2084421127,08/28/2007,8/28/2007,04/20/2008,4/20/2008,,,,,,,PUTNAM,ERIKA,LYNN,OWNER,2084421123,111N00000X,CHIA-844,ID,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,DC,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000621,1,,,,DULLANO,DENNIS,,DR.,,D.C.,,,,,,,,,,1215 HERMITAGE RD,#2418,RICHMOND,VA,232201338,US,9042347704,,800 BUFFALO ST,SUITE B,FARMVILLE,VA,239011112,US,4343155868,4347369895,08/28/2007,8/28/2007,02/16/2011,2/16/2011,,,,,,M,,,,,,111N00000X,0104556571,VA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000639,1,,,,BENHARASH,PEYMAN,,DR.,,MD,,,,,,,,,,5767 W CENTURY BLVD,SUITE 400,LOS ANGELES,CA,900455631,US,3108259820,,UCLA CARDIOTHORACIC SURGERY 10833 LECONTE AVE,62-182 CHS,LOS ANGELES,CA,900950001,US,3108259820,,08/27/2007,8/27/2007,02/22/2011,2/22/2011,,,,,,M,,,,,,208600000X,A85379,CA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000647,1,,,,LEPORE,NICOLE,MARIE,MS.,,"MS, OTR",,,,,,,,,,20 FEN CT,,MADISON,NJ,079402317,US,,,20 FEN CT,,MADISON,NJ,079402317,US,2016027406,,08/28/2007,8/28/2007,03/01/2013,3/1/2013,,,,,,F,,,,,,225XP0200X,46TR00426800,NJ,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000654,1,,,,RHODES,CAROLINE,MARIE,DR.,,DDS,,,,,,,,,,20821 US HWY 281 SUITE 310,STONE OAK MODERN DENTISTRY,SAN ANTONIO,TX,78258,US,2104944488,,20821 US HWY 281 SUITE 310,STONE OAK MODERN DENTISTRY,SAN ANTONIO,TX,78258,US,2104944488,,08/28/2007,8/28/2007,06/10/2011,6/10/2011,,,,,,F,,,,,,1223G0001X,3531-09,MS,N,1223G0001X,26299,TX,Y,1223G0001X,55219,CA,N,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000662,1,,,,BAKER,KATHLEEN,ANN,,,,,,DIEHL,KATHLEEN,ANN,,,,5,1001 ROHLWING RD,,ELK GROVE VILLAGE,IL,600073217,US,8475248800,,1001 ROHLWING RD,,ELK GROVE VILLAGE,IL,600073217,US,8475248800,,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,F,,,,,,101YP2500X,,IL,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000670,2,,<UNAVAIL>,"DR. JEFF SNYDER, LLC",,,,,,,SNYDER FAMILY CHIROPRACTIC,3,,,,,,,,PO BOX 761,,OAKS,PA,194560761,US,6109355900,6109355933,1003A EGYPT ROAD,,OAKS,PA,19456,US,6109355900,6109355933,08/28/2007,8/28/2007,10/05/2007,10/5/2007,,,,,,,SNYDER,JEFFREY,SCOTT,OWNER,6103292273,111N00000X,DC007973L,PA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,D.C.,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000688,2,,<UNAVAIL>,HUSSKE CHIROPRACTIC CLINIC,,,,,,,,,,,,,,,,1265 COFFEEN AVE,,SHERIDAN,WY,828015325,US,3076747433,3076746808,1265 COFFEEN AVE,,SHERIDAN,WY,828015325,US,3076747433,3076746808,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,,HUSSKE,BRIAN,A,PROVIDER/OWNER,3076747433,111N00000X,488,WY,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,"D.C, C.C.S.P.",193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000696,2,,<UNAVAIL>,ALMOND BANCROFT SCHOOL DISTRICT,,,,,,,,,,,,,,,,1336 ELM ST,,ALMOND,WI,549099785,US,,,1336 ELM ST,,ALMOND,WI,549099785,US,7153662941,7153662940,08/28/2007,8/28/2007,08/28/2007,8/28/2007,,,,,,,BOXX,DAN,,DISTRICT ADMINISTRATOR,7153662941,251300000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,,,,,,,,,,,,,,,,
1003000704,1,,,,GATTON,ZACHARY,MARK,,,M.D.,,,,,,,,,,1330 COSHOCTON AVE,,MOUNT VERNON,OH,430501440,US,7403939000,,1330 COSHOCTON AVE,,MOUNT VERNON,OH,430501440,US,7403936585,,09/05/2007,9/5/2007,09/16/2011,9/16/2011,,,,,,M,,,,,,207L00000X,35097335,OH,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000712,1,,,,MALLORY,SHEILA,ORALLO,MS.,,N. P.,,,,,,,,,,1867 E FIR AVE STE 104,,FRESNO,CA,937203841,US,5593255876,5593255838,1867 E FIR AVE STE 104,,FRESNO,CA,937203841,US,5593255876,5593255838,09/06/2007,9/6/2007,11/19/2008,11/19/2008,,,,,,F,,,,,,363LF0000X,11495,CA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000720,1,,,,HERNANDEZ,OTNIEL,,DR.,,DNP,,,,,,,,,,1275 W 47TH PL,SUITE 422,HIALEAH,FL,33012,US,3056762300,8886010076,1275 W 47TH PL,SUITE 422,HIALEAH,FL,330123394,US,3056762300,8886010076,09/06/2007,9/6/2007,05/03/2017,5/3/2017,,,,,,M,,,,,,363LF0000X,ARNP3081082,FL,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000738,1,,,,ZUMWALT,JULIETTE,A.,,,P.A.,,,,,,,,,,7401 S. MAIN,,HOUSTON,TX,77030,US,7137992300,7137943380,7401 S. MAIN,,HOUSTON,TX,770304509,US,7137992300,7137943380,09/06/2007,9/6/2007,08/11/2010,8/11/2010,,,,,,F,,,,,,363A00000X,PA05374,TX,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000746,1,,,,GALLEGOS,MIKE,LEE,,,PHARM D,,,,,,,,,,4236 NEW VISTAS CT NW,,ALBUQUERQUE,NM,871140706,US,,,4236 NEW VISTAS CT NW,,ALBUQUERQUE,NM,871140706,US,5054806327,,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,M,,,,,,183500000X,6838,NM,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000753,1,,,,DEITLE,JAMES,FRANCIS,,,PA-C,,,,,,,,,,501 N GRAHAM ST,SUITE #580,PORTLAND,OR,972271654,US,5035280704,5035280708,501 N GRAHAM ST,SUITE #580,PORTLAND,OR,972271654,US,5035280704,5035280708,09/05/2007,9/5/2007,01/22/2011,1/22/2011,,,,,,M,,,,,,363A00000X,664,AK,N,363A00000X,153509,OR,Y,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000761,1,,,,TAIMANGLO,PATRICIA,LEON GUERRERO,MS.,,PHD,,,PIER,PATRICIA,TAIMANGLO,MS.,,PHD,1,590 S MARINE CORPS DRIVE,SUITE 219 GITC BLDG,TAMUNING,GU,96914,US,6716492080,6716492082,590 S MARINE CORPS DRIVE,SUITE 219 GITC BLDG,TAMUNING,GU,96913,US,6716492080,6716492083,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,F,,,,,,103TC0700X,PSY705,HI,N,103TC0700X,CP000022,GU,Y,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000779,2,,<UNAVAIL>,MMC MEDICAL PARK AT 1635 POPLAR,,,,,,,,,,,,,,,,CMO,100 CORPORATE DRIVE,YONKERS,NY,10701,US,9143774722,,MMC MEDICAL PARK AT 1635 POPLAR,1635 POPLAR STREET,BRONX,NY,104612659,US,9143774722,,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,,DOWLING,MICHAEL,G,DIRECTOR,9143774668,261QP2300X,7000006H,NY,Y,,,,,,,,,,,,,,,,,,,,,,Y,MONTEFIORE MEDICAL CENTER,<UNAVAIL>,,,,,,,,,,,,,,,,,,
1003000787,1,,,,HYDE,CYNDI,ANNE,,,COTA,,,,,,,,,,2246 WATERFORD ST SE,,ALBANY,OR,973228877,US,5419053250,,1485 INTERNATIONAL PKWY STE 2051,,HEATHROW,FL,327465352,US,8007986035,,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,F,,,,,,224Z00000X,4566,WI,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000795,1,,,,O'NEILL,MICHAEL,JOSEPH,MR.,,LICSW,,,,,,,,,,1919 UNIVERSITY AVE W,,SAINT PAUL,MN,551043453,US,6512667900,6512667850,1919 UNIVERSITY AVE W,,SAINT PAUL,MN,551043453,US,6512667900,6512667850,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,M,,,,,,1041C0700X,17024,MN,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000803,2,,<UNAVAIL>,"CAMPBELL MEDICAL GROUP, MD, PSC",,,,,,,CAMPBELL MEDICAL GROUP,5,,,,,,,,303 PROFESSIONAL PARK DR,,GLASGOW,KY,421413487,US,2706293772,2706293774,303 PROFESSIONAL PARK DR,,GLASGOW,KY,421413487,US,2706293772,2706293774,09/05/2007,9/5/2007,12/05/2007,12/5/2007,,,,,,,GIBSON,JENNIFER,DALTON,OFFICE MANAGER,2706293772,207RA0000X,34221,KY,N,363L00000X,4716P,KY,N,207Q00000X,33935,KY,Y,,,,,,,,,,,,,,N,,,MS.,,RHIT,193400000X MULTIPLE SINGLE SPECIALTY GROUP,193400000X MULTIPLE SINGLE SPECIALTY GROUP,193400000X MULTIPLE SINGLE SPECIALTY GROUP,,,,,,,,,,,,
1003000811,2,,<UNAVAIL>,JOSEPH I KANG MD INC,,,,,,,,,,,,,,,,3755 BEVERLY BLVD,STE 301,LOS ANGELES,CA,900043539,US,3236647777,,3755 BEVERLY BLVD,STE 301,LOS ANGELES,CA,900043539,US,3236647777,,09/05/2007,9/5/2007,05/03/2017,5/3/2017,,,,,,,KANG,JOSEPH,I,DOCTOR,3236647777,207Q00000X,G34033,CA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,,,MD,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000829,1,,,,KOCHANEK,MICHELLE,RENEE,,,"PT, DPT",,,GARTNER,MICHELLE,RENEE,,,"PT, DPT",1,1325 S COLORADO BLVD STE 206,,DENVER,CO,802223311,US,3033943356,,1325 S COLORADO BLVD STE 206,,DENVER,CO,802223311,US,3033943356,,09/05/2007,9/5/2007,11/01/2013,11/1/2013,,,,,,F,,,,,,225100000X,PTL.0012104,CO,Y,225100000X,070015931,IL,N,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000837,1,,,,JOHN,RICHARD,L,,JR.,APRN,,,JOHN,RICHARD,L,,JR.,NP,2,1550 E. MAIN ST,MENTAL HEALTH,SANTA MARIA,CA,93254,US,8053546053,,1550 E MAIN ST,MENTAL HEALTH,SANTA MARIA,CA,934544819,US,8053546053,,09/05/2007,9/5/2007,11/24/2014,11/24/2014,,,,,,M,,,,,,363LF0000X,NPF 13309,CA,N,363LP0808X,NPF 13309,CA,Y,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000845,2,,<UNAVAIL>,JAMES D.SCHLENKER MDSC,,,,,,,PLASTIC SURGERY AND HAND SPECIALISTS,3,,,,,,,,6311 W 95TH ST,,OAK LAWN,IL,604532201,US,7084232258,7084232305,6311 W 95TH ST,,OAK LAWN,IL,604532201,US,7084232258,7084232305,09/05/2007,9/5/2007,03/22/2010,3/22/2010,,,,,,,SCHLENKER,JAMES,D,MEDICAL DIRECTOR,7084232258,174400000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,MD,193200000X MULTI-SPECIALTY GROUP,,,,,,,,,,,,,,
1003000852,1,,,,COYLE,TRIONA,,,,PSY.D.,,,,,,,,,,13666 E 14TH ST,,SAN LEANDRO,CA,945782538,US,,,13666 E 14TH ST,,SAN LEANDRO,CA,945782538,US,5103575515,,09/04/2007,9/4/2007,02/07/2014,2/7/2014,,,,,,F,,,,,,101YM0800X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000860,1,,,,BRENNAN,JANICE,M,MRS.,,APRN,,,,,,,,,,1 MEDICAL CENTER DR,DHMC DEPARTMENT OF OCCUPATION MEDICINE,LEBANON,NH,037561000,US,6035605000,6036500787,1 MEDICAL CENTER DR,DHMC DEPARTMENT OF OCCUPATION MEDICINE,LEBANON,NH,037561000,US,6035605000,6036500787,09/04/2007,9/4/2007,07/24/2009,7/24/2009,,,,,,F,,,,,,363LF0000X,012872-23-03,NH,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000878,1,,,,VEENSTRA,ELLEN,,MRS.,,M.A.,,,,,,,,,,312 E CEDAR AVE,UNIT J,BURBANK,CA,915021463,US,6165606674,,1540 E COLORADO ST,,GLENDALE,CA,912051514,US,8182447257,8182435431,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,F,,,,,,101Y00000X,,,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000886,1,,,,ARMSTRONG,MARGARET,E,,,LCSW,,,,,,,,,,1030 MIDDLE ST,,BATH,ME,045302221,US,,,329 BATH RD,,BRUNSWICK,ME,040112609,US,8004343000,,09/05/2007,9/5/2007,09/05/2007,9/5/2007,,,,,,F,,,,,,1041C0700X,LC5060,ME,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000894,1,,,,KEHLE,SHANNON,MARIE,,,"PH.D., L.P.",,,,,,,,,,1 VETERANS DR,,MINNEAPOLIS,MN,554172309,US,6124671564,,1 VETERANS DR,,MINNEAPOLIS,MN,554172309,US,6124671564,,09/05/2007,9/5/2007,08/17/2009,8/17/2009,,,,,,F,,,,,,103TC0700X,LP5123,MN,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000902,1,,,,LOHANO,JAIVANTI,,,,MD,,,,,,,,,,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,5027748631,5027783499,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,5027748631,5027783499,09/04/2007,9/4/2007,02/22/2012,2/22/2012,,,,,,F,,,,,,207Q00000X,41402,KY,Y,207Q00000X,01063381A,IN,N,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000910,1,,,,BASS,MARTHA,BROWNSTEIN,MS.,,LICSW,,,,,,,,,,16 WAYLAND HILLS RD,,WAYLAND,MA,017783810,US,5086530451,5086536094,16 WAYLAND HILLS RD,,WAYLAND,MA,017783810,US,5086530451,5086536094,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,F,,,,,,1041C0700X,1022489,MA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000928,2,,<UNAVAIL>,"LARISSA GUSHANSKY, DDS INC.",,,,,,,,,,,,,,,,887 E 2ND ST,SUITE B,POMONA,CA,917662009,US,9098658595,,887 E 2ND ST,SUITE B,POMONA,CA,917662009,US,9098658595,,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,,GUSHANSKY,LARISSA,,PRESIDENT,3235639124,122300000X,36156,CA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003000936,1,,,,STELLINGWORTH,MARK,A,,,MD,,,,,,,,,,PO BOX 743904,,ATLANTA,GA,303743904,US,8032967320,8032967330,8 RICHLAND MEDICAL PARK DR,SUITE 100,COLUMBIA,SC,292038005,US,8034343800,8037442759,09/04/2007,9/4/2007,11/02/2018,11/2/2018,,,,,,M,,,,,,207RC0000X,024969,LA,N,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000944,1,,,,DUSCHANE,ALANA,J,MS.,,,,,,,,,,,,400 S LOS ROBLES AVE UNIT 205,,PASADENA,CA,911013201,US,9098167562,,1540 E COLORADO ST,,GLENDALE,CA,912051514,US,8182447257,,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,F,,,,,,390200000X,,,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000951,1,,,,PAYNE,MACHEO,KAHIL,MR.,,,,,,,,,,,,4368 LINCOLN AVE,,OAKLAND,CA,946022529,US,5105313111,5105308083,9736 LAWLOR ST,,OAKLAND,CA,946054735,US,5105621052,,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,M,,,,,,101Y00000X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000969,2,,<UNAVAIL>,"CHIROPRACTIC CARE OF MINNESOTA, INC.",,,,,,,,,,,,,,,,1000 COUNTY ROAD E W,SUITE 230,SHOREVIEW,MN,551268054,US,6513892006,6513892009,1000 COUNTY ROAD E W,SUITE 230,SHOREVIEW,MN,551268054,US,6513892006,6513892009,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,,BARRETT,WILLIAM,,PRESIDENT,6513892006,302F00000X,,,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,DC,,,,,,,,,,,,,,,
1003000977,1,,,,DANNER,BARBARA,,,,,,,,,,,,,,423 AVE I,,CHILLICOTHE,TX,79225,US,,,423 AVE I,,CHILLICOTHE,TX,79225,US,9408525468,,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,F,,,,,,164X00000X,103256,TX,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003000985,1,,,,GONSALVES,PATRICIA,MAE,MS.,,RN,,,,,,,,,,7001A EAST PKWY,SUITE 600,SACRAMENTO,CA,958232501,US,9168755000,,7171 BOWLING DR,SUITE 800,SACRAMENTO,CA,958232034,US,9168755000,,09/04/2007,9/4/2007,09/04/2007,9/4/2007,,,,,,F,,,,,,163W00000X,197225,CA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003000993,1,,,,MCMANNIS,STEPHEN,EDWARD,MR.,,,,,,,,,,,,312 N 45TH ST,,SEATTLE,WA,981036305,US,3307030373,,117 SW 160TH STREET,,BURIEN,WA,98166,US,2062422030,2062422018,09/04/2007,9/4/2007,12/11/2014,12/11/2014,,,,,,M,,,,,,183500000X,03129498,OH,N,183500000X,PH60444168,WA,Y,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003001009,2,,<UNAVAIL>,REGENTS OF UNIVERSITY OF CALIFORNIA,,,,,,,,,,,,,,,,19262 JAMBOREE RD,,IRVINE,CA,926122502,US,9498242343,9498248737,19262 JAMBOREE RD,,IRVINE,CA,926122502,US,9498242343,9498248737,09/12/2007,9/12/2007,09/14/2007,9/14/2007,,,,,,,KOTKIN,RONALD,A,CLINICAL PROFESSOR,9498246292,103TC2200X,PSY12351,CA,Y,,,,,,,,,,,,,,,,,,,,,,N,,,PROF.,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003001017,1,,,,NICHOLS,LAWRENCE,MARTIN,DR.,,M.D,,,,,,,,,,5471 LA PALMA AVE,STE. 202,LA PALMA,CA,906231745,US,7145222041,7145228246,5471 LA PALMA AVE,STE. 202,LA PALMA,CA,906231745,US,7145222041,7145228246,09/12/2007,9/12/2007,09/23/2010,9/23/2010,,,,,,M,,,,,,207N00000X,A23444,CA,Y,,,,,,,,,,,,,,,,,,,,,Y,,,,,,,,,,,,,,,,,,,,,
1003001025,1,,,,BASS,MARIA,,,,,,,,,,,,,,9499 W CHARLESTON,SUITE 250,LAS VEGAS,NV,89117,US,7029333600,,9499 W CHARLESTON,#200 OSSM,LAS VEGAS,NV,89117,US,7029333600,7029333601,09/12/2007,9/12/2007,09/12/2007,9/12/2007,,,,,,F,,,,,,363AS0400X,,,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003001033,2,,<UNAVAIL>,COUNTRY CARE INC,,,,,,,,,,,,,,,,5302 N 43RD PLACE,,PHOENIX,AZ,850181672,US,9282740702,6028089186,3980 E CASSIE LANE,,COTTONWOOD,AZ,86326,US,9286490434,9286490238,09/12/2007,9/12/2007,09/12/2007,9/12/2007,,,,,,,HARRIS,MICHAEL,THOMAS,PRESIDENT,9282740702,310400000X,ALH4144,AZ,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MR.,,,,,,,,,,,,,,,,,
1003001041,1,,,,MILLER,KATHLEEN,,,,CRNA,,,,,,,,,,2800 PATTERSON DR,,ALIQUIPPA,PA,150011129,US,7243751919,,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,7247734621,7247734696,09/12/2007,9/12/2007,09/12/2007,9/12/2007,,,,,,F,,,,,,367500000X,RN522303L,PA,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003001058,1,,,,BELANGER,AYUMI,E,MS.,,PA-C,,,,,,,,,,PO BOX 1978,,MIDDLEBURG,FL,320501978,US,9042826331,9042821550,91 BRANSCOMB RD,SUITE 3,GREEN COVE SPRINGS,FL,320437223,US,9048611034,9048611037,09/12/2007,9/12/2007,06/19/2017,6/19/2017,,,,,,F,,,,,,363AM0700X,PA 9104224,FL,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003001066,2,,<UNAVAIL>,WOMENS HEALTH SERVICES CHATTANOOGA PC,,,,,,,ASSOCIATES IN WOMENS HEALTH,3,,,,,,,,6845 MOUNTAIN VIEW RD,,OOLTEWAH,TN,373636561,US,4239100896,4239101183,6845 MOUNTAIN VIEW RD,,OOLTEWAH,TN,373636561,US,4239100896,4239101183,09/12/2007,9/12/2007,06/24/2016,6/24/2016,,,,,,,JOHNSON,KIM,T,OFFICE MANAGER,7068614508,174400000X,=========,TN,Y,,,,,,,,,,,,,,,,,,,,,,N,,,MS.,,,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
1003001074,1,,,,MATTIS,DALIA,,DR.,,ED D,,,,,,,,,,5450 NW CENTRAL DR STE 109,,HOUSTON,TX,770922024,US,7138950062,7138950062,5450 NW CENTRAL DR STE 109,,HOUSTON,TX,770922024,US,7138950062,7138950062,09/12/2007,9/12/2007,09/12/2007,9/12/2007,,,,,,F,,,,,,101Y00000X,17843,TX,Y,,,,,,,,,,,,,,,,,,,,,N,,,,,,,,,,,,,,,,,,,,,
1003001082,2,,<UNAVAIL>,COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC,,,,,,,,,,,,,,,,1300 W MARKET ST,,SMITHFIELD,NC,275773339,US,9199891786,9199891791,212 BRIDGE ST,,SMITHFIELD,NC,275773963,US,9199384344,9199384342,09/12/2007,9/12/2007,09/12/2007,9/12/2007,,,,,,,WISE,JANET,M,EXECUTIVE DIRECTOR,9199891786,251S00000X,MHL 051 161,NC,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,,,,,,,,,,,,,,,,
1003001090,2,,<UNAVAIL>,EDWARD HAGUE,,,,,,,SPINAL REHABILITATION CENTER,3,,,,,,,,1501 N ELM ST,,DENTON,TX,762013021,US,9404848309,9403238666,1501 N ELM ST,,DENTON,TX,762013021,US,9404848309,9403238666,09/12/2007,9/12/2007,07/14/2008,7/14/2008,,,,,,,HAGUE,EDWARD,HUGH,OWNER/CHIROPRACTOR,9404846336,111N00000X,10502,TX,Y,,,,,,,,,,,,,,,,,,,,,,N,,,DR.,,D.C.,193400000X SINGLE SPECIALTY  GROUP,,,,,,,,,,,,,,
 
 
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