AB.csv

NPI,EntityTypeCode,ReplacementNPI,EmployerIdentificationNumberEIN,ProviderOrganizationNameLegalBusinessName,ProviderLastNameLegalName,ProviderFirstName,ProviderMiddleName,ProviderNamePrefixText,ProviderNameSuffixText,ProviderCredentialText,ProviderOtherOrganizationName,ProviderOtherOrganizationNameTypeCode,ProviderOtherLastName,ProviderOtherFirstName,ProviderOtherMiddleName,ProviderOtherNamePrefixText,ProviderOtherNameSuffixText,ProviderOtherCredentialText,ProviderOtherLastNameTypeCode,ProviderFirstLineBusinessMailingAddress,ProviderSecondLineBusinessMailingAddress,ProviderBusinessMailingAddressCityName,ProviderBusinessMailingAddressStateName,ProviderBusinessMailingAddressPostalCode,ProviderBusinessMailingAddressCountryCodeIfoutsideUS,ProviderBusinessMailingAddressTelephoneNumber,ProviderBusinessMailingAddressFaxNumber,ProviderFirstLineBusinessPracticeLocationAddress,ProviderSecondLineBusinessPracticeLocationAddress,ProviderBusinessPracticeLocationAddressCityName,ProviderBusinessPracticeLocationAddressStateName,ProviderBusinessPracticeLocationAddressPostalCode,ProviderBusinessPracticeLocationAddressCountryCodeIfoutsideUS,ProviderBusinessPracticeLocationAddressTelephoneNumber,ProviderBusinessPracticeLocationAddressFaxNumber,ProviderEnumerationDate,LastUpdateDate,NPIDeactivationReasonCode,NPIDeactivationDate,NPIReactivationDate,ProviderGenderCode,AuthorizedOfficialLastName,AuthorizedOfficialFirstName,AuthorizedOfficialMiddleName,AuthorizedOfficialTitleorPosition,AuthorizedOfficialTelephoneNumber,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch
1578667879,1,,,,BASKIN,LELAND,BURLESON,,,M.D.,,,,,,,,,,"9-3535 RESEARCH RD, NW",,CALGARY,AB,T2L2K8,CA,4037703758,4037703296,"9-3535 RESEARCH RD, NW",,CALGARY,AB,T2L2K8,CA,4037703758,4037703296,09/08/2006,08/14/2013,,,,M,,,,,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,,207ZP0102X,H3225,TX,
1013076553,1,,,,MIRZA,RAHAT,U,,,M.D.,,,,,,,,,,#606-804 3RD AVENUE,,CALGARY,AB,T2P0G9,CA,7804491481,,"# 55, 52304 RR 233",,SHERWOOD PARK,AB,T8B1C9,CA,7804491481,,12/08/2006,07/08/2007,,,,F,,,,,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,,207R00000X,82202,MA,
1760503999,1,,,,LILIC,NENAD,,,,M.D.,,,,,,,,,,10411-105TH AVENUE,APT. # 142,EDMONTON,AB,T5H4R8,CA,7807354737,,ROYAL ALEXANDRA HOSPITAL,10240 KINGSWAY,EDMONTON,AB,T5H3V9,CA,7807354737,,04/03/2007,07/08/2007,,,,M,,,,,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,,207ZP0101X,223319,MA,
1912112517,1,,,,ANNETT,ROBERT,PATRICK ROSS,MR.,,M.SC.,,,,,,,,,,#49 52449 RNG. RD. 222,,ARDROSSAN,AB,T8E 2G6,CA,,,BOX 297 PROVINCIAL BUILDING,9503 BEAVERHILL ROAD,LAC LA BICHE,AB,T0A 2C0,CA,7806235230,7806235232,05/14/2007,07/08/2007,,,,M,,,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,,101YM0800X,,,
1568671055,1,,,,KLONOWSKI,PAUL,W,DR.,,M.D.,,,,,,,,,,"9,3535 RESEARCH ROAD NW",DIAGNOSTIC AND SCIENTIFIC CENTRE,CALGARY,AB,T2L 2K8,CA,4037703430,4037703292,"9,3535 RESEARCH ROAD NW",DIAGNOSTIC AND SCIENTIFIC CENTRE,CALGARY,AB,T2L 2K8,CA,4037703430,4037703292,05/21/2007,07/22/2011,,,,M,,,,,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,,207ZP0102X,2006022068,MO,
1770784316,1,,,,HEDVA,BETH,,DR.,,PH.D.,,,,,,,,,,6408 BOW CRES NW,,CALGARY,AB,T3B2B9,CA,,,2029 DURANT AVE FL 2,,BERKELEY,CA,947041564,US,4035855805,,05/30/2007,07/08/2007,,,,F,,,,,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,,106H00000X,MFC18470,CA,
1952542029,1,,,,KORBYL,ROBERT,EDWARD,,,MD,,,,,,,,,,4419-50TH AVE,#105,RED DEER,AB,T4N3Z5,CA,4033431315,4033431099,4419-50TH AVE,#105,RED DEER,AB,T4N3Z5,CA,4033404156,4033431099,03/18/2009,03/18/2009,,,,M,,,,,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,,207X00000X,209704,MA,
1053555912,1,,,,GIANNAKOPOULOS,NADIA,VICKI,,,MD PHD,,,,,,,,,,10655 59 STREET NW,,EDMONTON,AB,T6A2K5,CA,7804667073,,UNIVERSITY OF ALBERTA HOSPITAL,8440 112 STREET NW,EDMONTON,AB,T6G 2B7,CA,7804078822,,04/22/2009,07/28/2015,,,,F,,,,,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,,207ZP0102X,ML60095933,WA,
1891007209,1,,,,RAMSEWAK,DARRYL,,,,M.D.,,,,,,,,,,1403 29 STREET NW,FOOTHILLS MEDICAL CENTER,CALGARY,AB,T2N 2T9,CA,4039441110,,1403 29 STREET NW,FOOTHILLS MEDICAL CENTER,CALGARY,AB,T2N 2T9,CA,3136222402,,07/14/2010,06/17/2015,,,,M,,,,,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,,2085R0202X,025219,ZZ,
1932418100,1,,,,STAUTLAND,GLORIA,GEIGER,DR.,,PSY.D.,,,,,,,,,,2026 27TH AVE SW,,CALGARY,AB,T2T1H5,CA,4034530328,,2026 27TH AVE SW,,CALGARY,AB,T2T1H5,CA,4034530328,,10/05/2010,10/05/2010,,,,F,,,,,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,,103TC0700X,NORWAY,ZZ,
1932442340,1,,,,LEAVITT,DARREN,ELLIS,DR.,,DPM,,,,,,,,,,755 LAKE BONAVISTA DR SE,SUITE 143,CALGARY,AB,T2J 0N3,CA,4032423668,,755 LAKE BONAVISTA DR SE,SUITE 143,CALGARY,AB,T2J 0N3,CA,4032423668,,04/03/2013,06/02/2016,,,,M,,,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,
1669812251,1,,,,CHEN,ZHONGCHUAN,WILL,DR.,,MD,,,,,,,,,,10150 102 ST NW #200,C/O MEDICAL AFFAIRS,EDMONTON,AB,T5J 5E2,CA,,,10150 102 ST NW #200,C/O MEDICAL AFFAIRS,EDMONTON,AB,T5J 5E2,CA,7804513702,,06/27/2013,10/31/2020,,,,M,,,,,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,,207ZP0101X,023970,ZZ,
1184058190,1,,,,LOBO,MAGNUS,JONATHAN,,,ATC,,,,,,,,,,1304 15TH AVE SW,APT 610,CALGARY,AB,T3C 0X7,CA,,,147 CANADA OLYMPIC RD SW,,CALGARY,AB,T3B 6B7,CA,4032844040,4032845656,08/27/2013,07/15/2020,,,,M,,,,,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,,2255A2300X,2217,NC,
1134554926,1,,,,LE,BELINDA,,DR.,,D.D.S.,,,,,,,,,,1410 14 ST N,,LETHBRIDGE,AB,T1H 2W7,CA,,,15208 MAIN ST E,,SUMNER,WA,983902638,US,2538919100,2538639368,09/11/2013,07/15/2014,,,,F,,,,,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,,1223G0001X,DE60408419,WA,
1417343658,1,,,,LALONDE,TAMMY,MARIA,MS.,,L.AC.,,,,,,,,,,12820 107 AVE NW,,EDMONTON,AB,T5M 1Z9,CA,7806337538,,12820 107 AVE NW,,EDMONTON,AB,T5M 1Z9,CA,7806337538,,04/14/2015,08/02/2021,,,,F,,,,,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,,171100000X,16419,CA,
1073995460,1,,,,EDWARDS,JANET,P,DR.,,MD,,,,,,,,,,515-30 ST NW,,CALGARY,AB,T2N2V4,CA,4032003630,,515-30 ST NW,,CALGARY,AB,T2N2V4,CA,4032003630,,06/23/2015,06/23/2015,,,,F,,,,,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,,208G00000X,2014-02404,NC,
1124492087,1,,,,EZEJI-OKOYE,CHINEDU,JOHN,DR.,,DDS,,,OKOYE,JOHN,,DR.,,DDS,2,1519 HIGH PARK DRIVE NW,,HIGH RIVER,AB,T1V0A4,CA,4037016272,,1526 5TH AVE,,SAN RAFAEL,CA,949011852,US,4154536409,,11/16/2015,11/16/2015,,,,M,,,,,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,,122300000X,44586,CA,
1326595968,2,,<UNAVAIL>,LOUISIANA STATE UNIVERSITY,,,,,,,,,,,,,,,,3316 44 B AVENUE,,EDMONTON,AB,T6T1E8,CA,7804400149,,2000 CANAL STREET,,NEW ORLEANS,LA,701123018,US,5047023000,,09/01/2016,09/01/2016,,,,,DOUGHTY,JENNIFER,,ADMINISTRATIVE COORDINATOR,5045684682,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,,282N00000X,303413,LA,
1740721810,1,,,,SMITH,KRISTINE,ANNE,DR.,,MD,,,,,,,,,,2110 BOWNESS RD NW,,CALGARY,AB,T2N3L1,CA,5872283391,,50 N MEDICAL DR,"OTOLARYNGOLOGY/ENT, CLINIC 9",SALT LAKE CITY,UT,84132,US,8015878368,,03/09/2017,03/06/2022,,,,F,,,,,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,,207YX0007X,10222696-1205,UT,
1316478746,1,,,,ALFANO,DANIEL,,DR.,,M.D.,,,,,,,,,,245S 100W BOX 1817,,RAYMOND,AB,T0K2S0,CA,,,4301 W MARKHAM ST,"DEPARTMENT OF PATHOLOGY, MAIL SLOT 517",LITTLE ROCK,AR,722057199,US,5016031508,,03/27/2017,03/27/2017,,,,M,,,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,
1881127678,1,,,,HOLLOWAY,DANIEL,DOUGLAS,DR.,,MD,,,,,,,,,,"880, 1403 - 29TH ST NW",,CALGARY,AB,T2N 2T9,CA,4039191950,,"880, 1403 - 29TH ST NW",,CALGARY,AB,T2N 2T9,CA,4039445479,4032703715,04/07/2017,02/08/2019,,11/09/2017,11/27/2017,M,,,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,
1316475742,1,,,,MILLER,ROBERT,JACK HENRY,,,"MD, FRCPC",,,,,,,,,,162 TUSCANY RAVINE CLOSE NW,,CALGARY,AB,T3L 2Y6,CA,,,162 TUSCANY RAVINE CLOSE NW,,CALGARY,AB,T3L 2Y6,CA,4036065553,4039442757,05/30/2017,05/30/2017,,,,M,,,,,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,,207RC0000X,148528,CA,
1083143119,1,,,,BALI,VARUN,,DR.,,MBBS,,,,,,,,,,1119 SOUTHGLEN DR SW,,CALGARY,AB,T2W 0X2,CA,,,1700 MOUNT VERNON AVE,,BAKERSFIELD,CA,933064018,US,6613262202,,06/12/2017,06/12/2017,,,,M,,,,,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,,390200000X,,CA,
1427560804,1,,,,ODENDAL,LISA,,,,MD,,,ODENDAL,LISA,,,,MD,5,15 DISCOVERY RIDGE LANE SW,,CALGARY,AB,T3H 4Y3,CA,,,501 6TH AVE S,,ST PETERSBURG,FL,33701,US,7277673051,,10/25/2017,05/31/2018,,,,F,,,,,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,,207PP0204X,133859,FL,
1538669296,1,,,,BAHLIS,NIZAR JACQUES,J,DR.,,MD,,,,,,,,,,717 21 ST NW,,CALGARY,AB,241,CA,,,WINSHIP CANCER INSTITUTE 1365 CLIFTON RD BUILDING C,,ATLANTA,GA,303220001,US,4036088861,,02/19/2018,02/19/2018,,,,M,,,,,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,,207RH0003X,78362,GA,
1164908679,1,,,,TRINH,CINDY,,,,OD,,,,,,,,,,7209 CALIFORNIA BLVD NE,,CALGARY,AB,T1Y6X8,CA,,,7361 W LAKE MEAD BLVD STE 104,,LAS VEGAS,NV,891281040,US,7024522020,,07/17/2018,07/17/2018,,,,F,,,,,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,,152W00000X,984,NV,
1093373698,1,,,,SCHMIDT,BRETT,,,,,,,,,,,,,,7409 87 AVE NW,,EDMONTON,AB,T6B 0L8,CA,,,817 PIONEER AVE,,CASHMERE,WA,988151235,US,5097821251,,05/30/2019,05/30/2019,,,,F,,,,,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,,225X00000X,OT60942567,WA,
1669018198,1,,,,TALIANI,BASIM,,DR.,,OD,,,,,,,,,,16122 108 ST NW,,EDMONTON,AB,T5X4Z7,CA,,,4625 E RAY RD,,PHOENIX,AZ,850446229,US,6027600890,,11/19/2019,11/19/2019,,,,M,,,,,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,,152W00000X,OPT-002399,AZ,
1033785258,1,,,,KASHOUR,ZAKARIYA,TAREK,MR.,,MBBS,,,,,,,,,,119600 26 AVE SW T6W 4P5,#317,EDMONTON,AB,T6W 4P5,CA,,,2157 MAIN ST 5TH FLOOR,CHS INTERNAL MEDICINE TRAINING PROGRAM,BUFFALO,NY,14214,US,7168621423,7168621871,05/28/2021,04/06/2023,,11/28/2022,04/06/2023,M,,,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,,390200000X,,,
1659049088,1,,,,KHAN,SAAD,MUSTAFA,DR.,,MD,,,,,,,,,,1010,HUCKELL PL SW,EDMONTON,AB,T6W 3B7,CA,,,"1010, HUCKELL PL SW",,EDMONTO,ALBERTA,T6W 3B7,CA,7806807357,,08/31/2021,08/31/2021,,,,M,,,,,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,,207ZP0102X,4301069531,MI,
1467118737,1,,,,SMITH,HOLLY,NANCIE ELIZABETH,,,MD,,,,,,,,,,107-1540 29TH STREET NW,,CALGARY,AB,T2N4M1,CA,,,6400 FANNIN ST STE 2850,,HOUSTON,TX,770301540,US,7134865139,,11/11/2021,11/11/2021,,,,F,,,,,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,,208600000X,BP10073959,TX,
1912650185,1,,,,JAMES,MICHAEL,,DR.,,MD,,,,,,,,,,607 12TH AVE NE,,CALGARY,AB,T2E1B2,CA,,,3200 S WATER ST,,PITTSBURGH,PA,152032307,US,4038609335,,01/28/2022,04/13/2022,,,,M,,,,,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,,207X00000X,143833,ZZ,
1922734904,1,,,,COUPAL,STEPHANIE,ANN,DR.,,M.D.,,,,,,,,,,270 CARRANGANA CR NW,,CALGARY,AB,T2L1B1,CA,,,"CHILDRENS MERCY (C/O DANELLE VOGT, FINANCIAL DIRECTOR,",2401 GILLHAM ROAD,KANSAS CITY,MO,64108,US,8169836875,8163029959,08/01/2022,01/12/2023,,,,F,,,,,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,,207XP3100X,94-11171,KS,