02-03-2025, 10:33 AM
United States APEX Custom Software Database
apexcustomsoftware.com
It's a healthcare and pharmacy software provider in Texas United States, and stole CSMP databases, affecting hundreds of its pharmacy and healthcare clients.
date: 18th Jan 2025
format: .bak
Databases are in MSSQL bak format. Use SSMS to import and restore the database.
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,,,,,,,,,,,,,,
[/code]
apexcustomsoftware.com
It's a healthcare and pharmacy software provider in Texas United States, and stole CSMP databases, affecting hundreds of its pharmacy and healthcare clients.
date: 18th Jan 2025
format: .bak
Databases are in MSSQL bak format. Use SSMS to import and restore the database.
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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