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OIG exclusion detail

CHIRIE BAZZELLE

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
1427393727
Name
CHIRIE LEDDELLE BAZZELLE
Address
5718 CATALINA AVENUE, BENTON, AR, 72019
Specialty
MENTAL/BEHAVIORAL HE
Exclusion type
1128a1
Exclusion date
20210520
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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