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OIG exclusion detail

HOLLY SIDES

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

Imported OIG rowOfficial OIG source
NPI
0000000000
Name
HOLLY H SIDES
Address
9464 PRESTON TRAIL WEST, PONTE VEDRA BEACH, FL, 32082
Specialty
NURSE/NURSES AIDE
Exclusion type
1128a1
Exclusion date
20080728
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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