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DANA A BELLIVEAU — OIG Excluded Provider (KILLINGSWORTH, CT, 1128b4)

DANA A BELLIVEAU — OIG Excluded Provider (KILLINGSWORTH, CT, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: DANA A BELLIVEAU; Type: Individual; Provider category: HOSPITAL.

NameDANA A BELLIVEAU
TypeIndividual
Provider categoryHOSPITAL
SpecialtyNURSE/NURSES AIDE
CityKILLINGSWORTH
StateCT
ZIP06419
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2001-10-18
SourceHHS-OIG LEIE

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