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OIG exclusion detail

CHARISE VALENTINE

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

Imported OIG rowOfficial OIG source
NPI
1366485039
Name
CHARISE VALENTINE
Address
P O BOX 27137, FORT WORTH, TX, 76127
Specialty
FAMILY PRACTICE
Exclusion type
1128a4
Exclusion date
20260219
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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