Office of the Medicaid Inspector General
Medicaid Exclusions
Medicaid Exclusions Short List



Exclusions Short List


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You searched for: Short List
List Execution Date: 7/6/2022 12:19:26 AM.
Records returned: .
Data was last updated: 7/6/2022 12:01:12 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
AQUINO INGRIDDirector of Finance06/21/2022Verify
CLARKE ANTOINETTE NADINE002728501831489723LPN06/21/2022Verify
CLARKE DZJARA DORJENursing Assistant06/21/2022Verify
CLARKE JAJVIA TATIANA Nurse Assistant06/21/2022Verify
DADAIAN JON-PAUL002388051629081013Physician06/21/2022Verify
WARBURTON DERRICK C IICaregiver06/21/2022Verify