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OIG exclusion detail

GARY VAN DAM

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

Imported OIG rowOfficial OIG source
NPI
0000000000
Name
GARY E VAN DAM
Address
5750 SOUTH 900 EAST, #3, MURRAY, UT, 84107
Specialty
EMPLOYEE
Exclusion type
1128a2
Exclusion date
19910508
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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