раздам немного SSN

[DeusEx]

вот по NC, "длинная" фуллка со страховкой и местом работы
если надо другие штаты - пишите.. чем смогу поделюсь))

50585,"CYNTHIA","LANIER","249 WESTRIDGE DR APT 24","LEXINGTON","NC","27295","336-249-4881","03/22/1955","238-79-3397","F","M","88305","05/12/09",,"PATH","238.2",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"105.00",3,"DAVID TODD DEVRIES","MD",,23,3686,"75",
50586,"CHRISTIANA","CRAWFORD","396 HAYDEN LN","CAMERON","NC","28326","910-960-2045","09/05/1996","245-83-7119","F",,"99213","01/14/10",,"O","706.1",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"58.89",4,"MAYA BILIC JONAS","M.D.",,14,3859,"650",
50587,"CHANDANA","KALAGARA","2410 SUMMITT RIDGE LOOP","MORRISVILLE","NC","27560","919-655-0309","06/23/1984","683-14-1230","F",,"99202","02/25/09",,"O","692.4",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (LP)",,26,3633,"198",
50588,"JEFFERY","NEER","355 JAMESTOWN RD","PITTSBORO","NC","27312","919-928-0596","02/08/1967","242-06-6385","M","K","99202","02/25/09",,"O","708.9",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (LP)",,26,3633,"327",
50589,"JEFFREY","ROSSER","2138 DEEP RIVER RD.","SANFORD","NC","27330","774-8967","12/10/1963","246-27-8361","M",,"99000","01/08/10",,"O","696.1",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"20.00",5,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3855,"206",
50590,"STEPHEN","SEGALL","106 MCMASTERS STREET","CHAPEL HILL","NC","27516","828-606-0062","02/03/1987","245-59-4326","M","J","99202","02/25/09",,"O","373.31",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (ATC)","UNIT B",35,3633,"322",
50591,"CURTIS","BLEVINS","6455 OLD LIBERTY RD","FRANKLINVILLE","NC","27248","336-824-6598","08/11/1996",,"M",,"99243","02/25/09",,"O","706.1","696.1",,,48,"TOWER LIFE INS CO",0,,0,,0,,"249.50",1,"MAYA BILIC JONAS","M.D.",,14,3633,"88",
50593,"KEVIN","BLEVINS","6455 OLD LIBERTY RD","FRANKLINVILLE","NC","27248","336-824-6598","10/02/1965","234-25-0450","M",,"99243","02/25/09",,"O","696.1",,,,48,"TOWER LIFE INS CO",0,,0,,0,,"249.50",1,"MAYA BILIC JONAS","M.D.",,14,3633,"84",
50592,"ARIELLE","RAMIREZ","417 SOUTHLAND DR","FAYETTEVILLE","NC","28311",,"03/02/1992","640-30-2167","F",,"99201","02/25/09","25","O","238.2","216.4",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"34.93",1,"DAVID TODD DEVRIES","MD",,23,3633,"536",
50595,"FADRIENNE","SESSIONS","1017 NORTHRIDGE LANE","CHAPEL HILL","NC","27514","919-240-4801","03/08/1958",,"F",,"BOTOX","03/17/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3647,"397",,
XMIT",0,,0,,0,,"188.00",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3649,"310",
50919,"CHRISTY","BUNN","108 ROCK CREEK CIRCLE","OXFORD","NC","27565","919-693-9713","11/13/1976","242-23-7915","F","D","11400","05/05/09",,"O","238.2",,,,36,"TRICARE NORTH REGION",0,,0,,0,,"192.94",3,"MAYA BILIC JONAS","M.D.",,14,3722,"313",
50920,"RALPH","MARSHALL","1809 VALLEY CREEK DR","HILLSBOROUGH","NC","27278","919-732-4169","01/18/1964","493-82-5249","M",,"99203","03/19/09",,"O","692.4",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"198.00",1,"DAVID TODD DEVRIES","MD",,23,3649,"401",
50921,"CALEN","CAMPBELL","334 BROOK ARBOR DRIVE","CARY","NC","27519","919-532-4034","10/01/1992",,"F",,"99242","03/19/09",,"O","216.5",,,,20,"BCBS/FEDERAL EMPLOYEES",0,,0,,0,,"188.00",1,"BETH G. GOLDSTEIN"," MD (LP)",,26,3649,"399",
50922,"ROBERT","FOGLESONG","6 HAZEN COURT","DURHAM","NC","27712","919-471-4421","08/06/1959","285-66-4293","M",,"88305","09/17/09",,"PATH","238.2",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"105.00",3,"BETH G. GOLDSTEIN"," MD (LP)",,26,3776,"228",
50923,"JORDAN","JOSEPH","6805 COTTONWOOD DR","SNOW CAMP","NC","27349",,"03/28/1983","241-59-9130","F",,"99203","03/19/09",,"O","216.5","702.19","216.6","216.7",2,"BCBS XMIT (NC)",0,,0,,0,,"198.00",1,"JENNELLE WILLIAMS","M.D.",,3,3649,"402",
50924,"STEPHANIE","KONTIO","109 FOREST CREEK DR","RAEFORD","NC","28376","910-875-8320","04/03/1976","590-48-3775","F",,"99213","05/28/09","25","O","238.2",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"58.89",2,"BETH G. GOLDSTEIN"," MD (LP)",,26,3697,"89",
50925,"DIANCA","MCLAUGHLIN","29101 CEDARWOOD DRIVE","DURHAM","NC","27707","919-667-3211","06/01/1988","244-59-0639","F",,"99201","03/19/09",,"O","704.00",,,,100,,0,,0,,0,,"53.00",0,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3649,"261",
50926,"ERIN","SPRITZER","5225 PINE CONE LANE","DURHAM","NC","27705","919-419-0319","06/24/1987","237-57-2707","F",,"LIGHTSHE","12/21/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3844,"478",,
50927,"MARTHA","HARPER","2901 GREIMAR DR.","DURHAM","NC","27705","451-4070","07/20/1922","156-14-2786","F","C","99241","03/19/09",,"O","692.9",,,,4,"MEDICARE XMIT (NC)",26,"CIGNA - NEIC XMIT",0,,0,,"46.24",1,"LAURA Z. PHILLIPS","PAC",,25,3649,"27",
50928,"AADRA","BHATT","210 CEDARWOOD LN","CARRBORO","NC","27510",,"02/22/1981","401-35-5591","F",,"99212","04/23/09",,"O","695.89",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"78.00",2,"BETH G. GOLDSTEIN"," MD (LP)",,26,3673,"581",
50929,"LINDA","ONEIL","18 PATRIOT CIRCLE","DURHAM","NC","27704","919-471-9154","06/11/1961","220-84-2800","F",,"99243","03/19/09",,"O","692.9","216.3","216.5","216.6",64,"UNITED HEALTHCARE",0,,0,,0,,"249.50",1,"JENNELLE WILLIAMS","M.D.",,3,3649,"580",
50930,"SUSAN","WOOD","2014 PRAIRIE RIDGE COURT","FUQUAY-VARINA","NC","27526","919-762-1984","06/04/1979","237-61-2394","F","M","88305","03/19/09",,"PATH","238.2",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"210.00",1,"MAYA BILIC JONAS","M.D.",,14,3649,"640",
50931,"YVONNE","PERRY","8033 SATILLO LANE","RALEIGH","NC","27616","919-801-0823","11/23/1960","229-15-3668","F",,"99202","03/19/09",,"O","704.00",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS","M.D.",,3,3649,"723",
50933,"ARKADIUSZ","KLOSOWSKI","331 N. FRANKLIN DRIVE","SANFORD","NC","27330","973-981-5600","02/01/1972","140-11-8213","M",,"99202","03/19/09",,"O","704.8","690.10",,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3649,"590",
50932,"TROY","SMITH","11200 DECREE PL","CHAPEL HILL","NC","27519","919-650-3425","12/26/1975","471-86-9171","M",,"11900","07/31/09",,"O","078.10",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"102.50",5,"DAVID DEVRIES"," MD (LP)",,40,3742,"802",
50934,"JARVIS","EDGERTON","1610 HIGH ST.","DURHAM","NC","27707","919-749-5310","12/23/1969",,"M","J","99202","03/19/09",,"O","692.4",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"MAYA BILIC JONAS","M.D.",,14,3649,"720",
50935,"VIRGINIA","WANG","208 WESTBROOK DRIVE","CARRBORO","NC","27510","919-593-2832","04/12/1975",,"F",,"99214","09/18/09",,"O","695.3","704.8","216.3","216.4",20,"BCBS/FEDERAL EMPLOYEES",0,,0,,0,,"170.50",3,"MAYA BILIC JONAS","M.D.",,14,3776,"603",
50936,"JOHNNY","GREEN","5800 PEPPERBUSH","FAYETTEVILLE","NC","28304","910-797-8198","08/25/1962","276-70-6529","M",,"99213","04/02/09",,"O","695.4",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"58.89",2,"MAYA BILIC JONAS","M.D.",,14,3659,"344",
50937,"AIDA","KASTNER","142 FOX CHAPEL LN","PITTSBORO","NC","27312","919-542-0504","02/05/1940","136-60-7073","F",,"99202","03/19/09",,"O","692.4",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3649,"596",
50938,"DANIEL","JONAS","4809 CARLTON CROSSING DR","DURHAM","NC","27713","919-490-0890","12/17/1974","302-84-8307","M","E","99201","03/19/09","25","O","238.2",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"80.00",1,"MAYA BILIC JONAS","M.D.",,14,3651,"245",
50939,"WEN JI","CHEN","2111 CARRIAGE WAY","CHAPEL HILL","NC","27517","919-933-5986","03/26/1959","316-86-0225","F",,"88305","03/20/09",,"PATH","238.2",,,,38,"AETNA NEIC",0,,0,,0,,"105.00",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3649,"802",
50940,"KIMBERLY","ROBERTS","2202 UNIVERSITY DRIVE","DURHAM","NC","27707","919-321-0196","04/28/1967","239-29-6821","F",,"99214","01/29/10",,"O","110.1","216.3",,,39,"MEDCOST",0,,0,,0,,"170.50",2,"BETH G. GOLDSTEIN"," MD (LP)",,26,3870,"97",
50941,"BRUCE","ROBERTS","2202 UNIVERSITY DRIVE","DURHAM","NC","27707","919-321-0196","02/16/1973","242-59-4891","M",,"88305","11/04/09",,"PATH","238.2",,,,39,"MEDCOST",0,,0,,0,,"105.00",2,"JENNELLE WILLIAMS","M.D.",,3,3812,"502",
50942,"LYNDSEY","BLACK","208 FAN BRANCH LANE","CHAPEL HILL","NC","27516","619-991-9744","04/19/1979","560-97-2276","F",,"99203","03/20/09",,"O","228.01","216.5","702.19","216.6",2,"BCBS XMIT (NC)",0,,0,,0,,"198.00",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3650,"309",
50943,"ELIZABETH","JOHNSON","1405 PIPERWOOD CT","DURHAM","NC","27713","919-806-5152","11/13/1932","095-40-0178","F","A","17003","04/24/09","KX","O","702.0",,,,4,"MEDICARE XMIT (NC)",9,"FIRST UNITED AMERICAN",0,,0,,"6.42",3,"BETH G. GOLDSTEIN"," MD (LP)",,26,3673,"680",
50944,"CHRISTINA","STANLEY","427 COLONY STREET","SILER CITY","NC","27344","919-663-2541","01/04/1962","237-25-1760","F",,"TAX","08/19/09",,"O","999",,,,1,,0,,0,,0,,"0.68",0,"BETH G. GOLDSTEIN"," M.D.",,9,3756,"211",
50945,"STEVEN","HEINE","303 LONG MEADOWS ROAD","CHAPEL HILL","NC","27516","919-969-9141","12/10/1997",,"M","P","MISC","04/03/09",,"O","V50.9",,,,1,,0,,0,,0,,"49.00",0,"DAVID TODD DEVRIES","MD",,23,3660,"767",
50946,"SUSUMU","KODOMA","801 E WOODCROFT PKWY","DURHAM","NC","27713","919-806-1878","05/24/1974","690-01-6553","M",,"99212","05/13/09",,"O","757.39",,,,20,"BCBS/FEDERAL EMPLOYEES",0,,0,,0,,"78.00",3,"JENNELLE WILLIAMS"," MD (LP)","APT 823",27,3687,"238",
50947,"JAMES","HOLT","2439 WOOD LOOP RD.","HURDLE MILLS","NC","27541","644-0590","02/02/1956",,"M",,"84460","05/18/09","QW","O","110.5",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"15.00",3,"DAVID TODD DEVRIES","MD",,23,3689,"793",
50948,"TOM","COPPAGE","4104 CROWFIELD DRIVE","RALEIGH","NC","27610","919-833-8939","09/25/1955","238-96-2522","M",,"99212","04/24/09",,"O","698.3",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"35.26",2,"MAYA BILIC JONAS","M.D.",,14,3674,"787",
50949,"THOMAS","BOYEA","3734 SWARTHMORE ROAD","DURHAM","NC","27707","919-489-4082","06/22/1960","381-74-2824","M",,"99201","03/20/09","25","O","238.2",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"80.00",1,"DAVID TODD DEVRIES","MD",,23,3650,"729",
50950,"MICHAEL","EGAN","42 HESTER PLACE","CAMERON","NC","28326","253-320-8259","05/01/1978","594-56-6251","M","N","99212","01/14/10","25","O","078.10",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"35.27",4,"JENNELLE WILLIAMS"," MD (ATC)",,36,3859,"276",
50951,"KELLY","MCKNIGHT","109 LEAFWOOD DR","GOLDSBORO","NC","27534","919-751-0764","06/13/1960","525-11-9066","F",,"88305","09/21/09",,"PATH","238.2",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"105.00",5,"JENNELLE WILLIAMS","M.D.",,3,3778,"41",
50952,"MEGHIN","PATTON","933 LONG SCHOOL ROAD","LITTLETON","NC","27850","252-586-4937","08/17/1990","224-59-6314","F",,"99212","04/13/09",,"O","695.2",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"78.00",2,"DAVID TODD DEVRIES","MD",,23,3665,"96",
50953,"DOYLE","MCKNIGHT","109 LEAFWOOD DR","GOLDSBORO","NC","27534","919-751-0764","08/12/1956","578-78-6954","M",,"99213","09/21/09",,"O","702.0","706.2","702.19","216.5",26,"CIGNA - NEIC XMIT",0,,0,,0,,"108.50",2,"ANNE T CASPERSON","PAC",,34,3778,"46",
50954,"MARTHA","DELAFIELD","336 JOHN HORTON ROAD","GLENDON","NC","27523","919-637-1140","03/13/1955","373-64-9743","F",,"MISC","07/23/09",,"O","999",,,,1,,0,,0,,0,,"6.70",0,"BETH G. GOLDSTEIN"," M.D.",,9,3737,"330",
50955,"LAURA","LEUENBERGER","4009 VILLAGE DR","FAYETTEVILLE","NC","28304","910-644-1750","12/02/1976","235-11-3719","F","E","CONSULT2","06/24/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3716,"204",,
50956,"ERIC","DOKTER","1578 ELM GROVE AVENUE","AKRON","OH","44312","330-414-6129","11/13/1969","294-56-2638","M","M","99212","11/20/09","25","O","238.2","216.5",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"35.26",4,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3825,"48",
50957,"JEANELLE","HASWELL","12023 WICKER DR","CHAPEL HILL","NC","27517","919-401-0123","12/01/1994",,"F","P","99201","03/20/09",,"O","216.4",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"80.00",1,"DAVID TODD DEVRIES","MD",,23,3650,"327",
50958,"LAUREN","POLLARD","7779 TRAPPERS RD","FAYETTEVILLE","NC","28311","831-521-4044","10/20/1979","375-02-8235","F","M","ND:YAG-J","03/20/09",,"O","999",,,,1,,0,,0,,0,,"150.00",0,"BETH GOLDSTEIN MD",,2,3650,"178",,
50959,"COURTNEY","MCKEE","866 MERIDETH DR","GRAHAM","NC","27253","252-676-9187","07/02/1985","237-55-6398","F",,"99213","10/22/09",,"O","216.4","216.5","216.6","216.7",39,"MEDCOST",0,,0,,0,,"108.50",4,"BETH G.GOLDSTEIN","M.D",,1,3802,"762",
50960,"MARK","HOSIER","1025 RIVER CHASE DRIVE","RALEIGH","NC","27610","919-373-1384","09/02/1962","572-35-1762","M","D","99212","11/11/09",,"O","214.1",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"35.26",2,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3817,"528",
50961,"CAITLIN","RUTHERFORD","3208 GLASGOW DRIVE","FAYETTEVILLE","NC","28303","910-424-2247","11/11/1978","594-18-7222","F",,"99213","07/07/09",,"O","216.6","216.7",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"58.89",2,"MAYA BILIC JONAS","M.D.",,14,3725,"244",
50962,"WILSON","RUTHERFORD IV","3208 GLASGOW DRIVE","FAYETTEVILLE","NC","28303","910-424-2247","12/28/1970","226-25-4770","M",,"11101","03/20/09",,"O","238.2",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"28.59",1,"DAVID TODD DEVRIES","MD",,23,3651,"1120",
50963,"ANDREA","BOYD","393 CAPE FEAR ROAD","RAEFORD","NC","28376","910-568-8041","04/21/1984","059-72-0448","F",,"99213","06/18/09",,"O","695.3",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"58.89",2,"JENNELLE WILLIAMS"," MD (LP)",,27,3712,"415",
50964,"JESSICA","RADCLIFF","602 SHANNON DR","CHAPEL HILL","NC","27516","919-929-4934","03/28/1987",,"F",,"J3301","05/15/09",,"O","704.01",,,,39,"MEDCOST",0,,0,,0,,"4.00",3,"MAYA BILIC JONAS","M.D.",,14,3689,"80",
50965,"GASTON","EUBANKS","712 WILLIAMS CIRCLE","CHAPEL HILL","NC","27516","919-933-7463","09/11/1957","243-76-0660","M",,"99203","03/20/09",,"O","706.9","690.10","216.5",,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"198.00",1,"DAVID TODD DEVRIES","MD",,23,3650,"392",
50966,"WARREN","STILLMAN","1253 WOODLAND CHURCH ROAD","WAKE FOREST","NC","27587","919-764-9704","03/25/1955","223-86-6262","M",,"99242","03/20/09",,"O","228.01","216.5","698.3",,2,"BCBS XMIT (NC)",0,,0,,0,,"188.00",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3650,"344",
50967,"PHILLIP","SCOTT","2427 HURDLE MILLS RD","CEDAR GROVE","NC","27231","919-245-3796","12/02/1983","238-55-8521","M",,"99201","03/20/09",,"O","216.6",,,,74,"PRIMAHEALTH IPA",0,,0,,0,,"80.00",1,"DAVID TODD DEVRIES","MD",,23,3651,"1171",
50968,"BLAINE","SCHMIDT","14203 SPRING MEADOW DR","CHAPEL HILL","NC","27517","919-240-4138","02/06/1967","394-72-2813","M",,"99213","06/19/09",,"O","110.1",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"108.50",3,"MAYA BILIC JONAS","M.D.",,14,3713,"128",
50969,"BEATRICE","MOZINGO","1115 MEADOW ST","WILSON","NC","27893","919-545-9194","09/08/1916","239-32-5450","F",,"11100","04/01/09",,"O","238.2",,,,4,"MEDICARE XMIT (NC)",108,"MEDICAID",0,,0,,"86.95",2,"JENNELLE WILLIAMS"," MD (LP)",,27,3658,"576",
50970,"CARLA","DUBUC","212 FIRST ST","BROADWAY","NC","27505","919-258-0564","05/05/1969","245-45-5896","F",,"99202","03/20/09","25","O","238.2","216.7",,,64,"UNITED HEALTHCARE",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3651,"1158",
50971,"CAMERON","DUBUC","212 FIRST ST","BROADWAY","NC","27505","616-258-0564","05/07/1998",,"F",,"99201","03/20/09","25","O","228.01",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"80.00",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3651,"1164",
50972,"LUZVIMINDA","COSALAN-MUNDA","1518 PEBBLE CREEK XING","DURHAM","NC","27713","919-450-0071","05/07/1972",,"F",,"99203","03/20/09",,"O","706.2","692.4",,,74,"PRIMAHEALTH IPA",0,,0,,0,,"198.00",1,"MAYA BILIC JONAS","M.D.",,14,3650,"381",
50973,"CATHERINE","SNYDER","4 ARBORFIELD LANE","DURHAM","NC","27713","919-293-1603","01/04/1967","243-35-0345","F",,"99212","07/17/09","25","O","702.0","702.11",,,2,"BCBS XMIT (NC)",0,,0,,0,,"78.00",4,"DAVID TODD DEVRIES","MD",,23,3733,"1240",
50974,"KEVIN","CIFUENTES","312 3RD AVE","SILER CITY","NC","27344","919-742-4213","09/07/1995",,"M",,"99242","03/23/09",,"O","757.39",,,,7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"86.65",1,"JENNELLE WILLIAMS","M.D.",,3,3651,"694",
50975,"JUSTIN","HOPKINS","1 BRIGHTLEAF COURT","DURHAM","NC","27713","703-216-6112","02/26/1977","517-08-0542","M",,"99213","04/29/09",,"O","216.5","691.8","112.3",,2,"BCBS XMIT (NC)",0,,0,,0,,"108.50",3,"DAVID TODD DEVRIES","MD",,23,3677,"648",
50976,"EMILY","HARRISON","106 COLUMBIA PLACE DRIVE","CHAPEL HILL","NC","27516","336-470-9351","03/18/1987","241-51-8751","F","R","ND:YAG-J","03/23/09",,"O","999",,,,1,,0,,0,,0,,"200.00",0,"SARAH SIDIQI"," FNP (COSMETIC)",,47,3651,"450",
50977,"EDWIN","CULBERSON","2446 SILK HOPE LIBERTY RD","SILER CITY","NC","27344","919-742-3750","05/01/1941","237-66-8614","M",,"17110","01/05/10",,"O","702.11",,,,115,"EVERCARE/ MEDICARE HMO",0,,0,,0,,"91.36",7,"BETH G.GOLDSTEIN","M.D",,1,3852,"922",
50978,"DARREN","DELITIZIA","1952 POST RAIL LANE","APEX","NC","27502","919-367-7949","09/27/1970","158-68-5752","M","J","88305","03/23/09",,"PATH","238.2",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"105.00",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3651,"1106",
50979,"ERIC","HOUCHENS","209 CANTER DRIVE","RAEFORD","NC","28376","910-875-6447","10/24/1967","230-23-7429","M",,"J0585","04/14/09",,"O","705.21",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"6.24",2,"BETH G.GOLDSTEIN","M.D",,1,3666,"732",
50980,"CHRISTINE","ARROYO","2032 HOMESTEAD","CHAPEL HILL","NC","27516","919-240-5019","09/06/1948","213-52-6742","F","N","99212","04/14/09",,"O","692.9","690.10",,,4,"MEDICARE XMIT (NC)",108,"MEDICAID",0,,0,,"35.26",2,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3666,"138",
50981,"TAMERA","WHYTE","1204 VILLAGE CROSSING DR","CHAPEL HILL","NC","27517","919-257-3910","01/29/1983","380-98-2363","F",,"99024","04/02/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3659,"297",,
50982,"JOHN","WHALEY","750 WEAVER DAIRY ROAD","CHAPEL HILL","NC","27514","919-918-3494","05/01/1922","230-12-8730","M","L","17003","03/23/09","KX","O","702.0",,,,4,"MEDICARE XMIT (NC)",35,"AARP-UNITED HEALTHCARE",0,,0,,"12.84",1,"JENNELLE WILLIAMS","M.D.","APT. 207",3,3651,"851",
50983,"JENNIFER","HOBBY","3303-F SPERRY BRANCH WAY","FAYETTEVILLE","NC","28306","815-218-1107","11/01/1985","361-76-9115","F",,"99024","03/25/09",,"O","V58.32",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"0.00",0,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3653,"40",
50984,"BEVERLY","RODGERS","104 BURNETT CIRCLE EXT.","PITTSBORO","NC","27312","919-968-0006","06/01/1962","246-13-0275","F",,"99202","03/23/09","25","O","216.3","706.1","709.09","238.2",74,"PRIMAHEALTH IPA",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3654,"305",
50985,"MICHAEL","DELONG","205 SOMERSET DR","CHAPEL HILL","NC","27514","919-968-6769","09/15/1988","243-61-8106","M",,"99214","06/22/09",,"O","706.1",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"170.50",2,"DAVID TODD DEVRIES","MD",,23,3714,"311",
50986,"ROBERT","BULLOCK","2001 FOUNTAIN","CHAPEL HILL","NC","27517","919-240-5410","10/05/1937","130-30-8710","M","B","17003","11/13/09","KX","O","702.0",,,,4,"MEDICARE XMIT (NC)",2,"BCBS XMIT (NC)",0,,0,,"6.42",4,"DAVID TODD DEVRIES","MD",,23,3820,"429",
50987,"SUZANNE","BULLOCK","20011 FOUNTAIN","CHAPEL HILL","NC","27517","919-240-5410","05/03/1944","244-74-4314","F",,"99024","01/05/10",,"O","V58.32",,,,4,"MEDICARE XMIT (NC)",2,"BCBS XMIT (NC)",0,,0,,"0.00",0,"ANNE T CASPERSON","PAC",,34,3851,"385",
50988,"LEONTINA TINA","VAUGHAN","105 SOMERSET COURT","MEBANE","NC","27302","919-357-6794","07/06/1973","570-49-8891","F",,"99024","08/31/09",,"O","706.1",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"0.00",0,"BETH G.GOLDSTEIN","M.D",,1,3764,"221",
50989,"WILLIAM","DARWIN","4957 VASS CARTHAGE RD","CARTHAGE","NC","28327","910-245-7846","10/27/1993","241-77-1302","M","R","99212","04/08/09","25","O","238.2",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"35.26",2,"DAVID TODD DEVRIES","MD",,23,3663,"92",
50990,"ANGELA","CHRISMAN","1917 JENNY ROAD","FAYETTEVILLE","NC","28314","910-860-7928","03/24/1976","305-96-1724","F",,"11100","03/23/09",,"O","238.2",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"86.95",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3651,"772",
50991,"ANA","SAMPSON","1516 STEPPING STONE COURT","RALEIGH","NC","27603","919-270-2874","06/01/1978",,"F","G","99202","03/23/09",,"O","709.09",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3651,"380",
50992,"RHONDA","DANIELS","286 TURNER LN","BROADWAY","NC","27505","910-964-1669","08/23/1957","220-66-6517","F",,"99203","03/23/09","25","O","238.2","173.3","216.5","216.6",36,"TRICARE MID-ATLANTIC",0,,0,,0,,"87.75",1,"BETH G.GOLDSTEIN","M.D",,1,3651,"801",
50993,"JENNIFER","SHIEL","120 MARY LANE","GARNER","NC","27529","919-616-8872","04/27/1977","106-60-4265","F",,"99202","03/23/09","25","O","695.3","V10.83","238.2","228.01",7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"60.57",1,"DAVID TODD DEVRIES","MD",,23,3651,"744",
50994,"JENNIFER","GILNER","1008 WOOD-SAGE DRIVE","CARY","NC","275116","919-929-5052","01/11/1978","185-58-1878","F",,"LIGHTSHE","09/29/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3784,"501",,
50995,"THOMAS","MOREY","6901 LAKE WHEELER RD","RALEIGH","NC","27603","919-772-3225","06/16/1947","075-38-1972","M","M","99213","01/21/10","25","O","702.0","V10.83","709.2",,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"58.89",7,"DAVID TODD DEVRIES","MD",,23,3864,"223",
50996,"SARADASREE","GHATTI","207 FAIRCHILD DOWNS PLACE","CARY","NC","27518","919-362-5945","10/13/1974","172-78-0331","F",,"99202","03/23/09",,"O","690.10",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"DAVID TODD DEVRIES","MD",,23,3651,"393",
50997,"JACQUELINE","MCKENNA","18 LEXINGTON LANE","MILLIS","MA","02054","781-267-3985","08/21/1973",,"F",,"WAXING","03/23/09",,"O","999",,,,1,,0,,0,,0,,"15.00",0,"BETH GOLDSTEIN MD",,2,3651,"565",,
50998,"LORALIE","ADAMS","814 VICKERS AVENUE","DURHAM","NC","27701","919-688-8580","07/30/1982","412-63-4106","F",,"99202","03/24/09",,"O","695.3",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3652,"290",
50999,"LARRY","MAYES","2063 CARRIAGE WAY","CHAPEL HILL","NC","27517","919-968-8061","03/29/1953","413-92-0796","M","D","17003","04/29/09",,"O","702.0",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"94.50",2,"DAVID TODD DEVRIES","MD",,23,3677,"317",
51000,"RONALYN","REYES","311 HARDWICK DRIVE","DURHAM","NC","27713","919-361-5004","04/13/1970",,"F",,"99213","05/05/09",,"O","704.00",,,,38,"AETNA NEIC",0,,0,,0,,"108.50",2,"JENNELLE WILLIAMS"," MD (LP)",,27,3681,"270",
51001,"CARMEN","WOOD","3916 LEES CHAPEL ROAD","CEDAR GROVE","NC","27231","919-732-7715","01/09/1965","241-92-7866","F",,"99024","05/27/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3696,"252",,
51002,"ZACHARY","DELANEY","300 BLACKWELL ST.","DURHAM","NC","27701","860-670-3126","12/11/1984","040-78-8903","M",,"99201","03/24/09",,"O","238.2",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"80.00",1,"DAVID TODD DEVRIES","MD","APT. 215",23,3652,"349",
51003,"JUDITH","BAKER","6411 PINEY ROAD","GIBSONVILLE","NC","27249","336-449-5449","04/13/1961","238-25-1399","F",,"99202","03/24/09","25","O","702.0","V10.83","709.09",,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (LP)",,26,3652,"292",
51004,"NOEL","KULIK","400 DAVIE ROAD","CARRBORO","NC","27510","586-295-8752","12/23/1974","372-88-8613","F",,"84460","03/24/09","QW","O","706.1",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"15.00",1,"BETH G. GOLDSTEIN"," MD (ATC)","#4",35,3652,"311",
51005,"SUZANNE","VREDENBURGH","100 SILVER GLADE PLACE","CHAPEL HILL","NC","27514","919-403-3841","09/27/1956","040-56-8960","F",,"88305","03/24/09",,"PATH","238.2",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"105.00",1,"BETH G.GOLDSTEIN","M.D",,1,3652,"268",
51006,"CAELAN","KLEIN","5315 PINE CORE LANE","DURHAM","NC","27705","919-401-5109","01/28/1963","371-78-4118","F",,"CONSULT1","03/24/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3652,"443",,
51007,"MICHAEL","CATES","6905 NICOLE DRIVE","ROUGEMONT","NC","27572","919-667-4941","03/09/1971","246-51-0510","M",,"J3301","03/24/09",,"O","701.4",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"4.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3651,"1241",
51008,"JENNIFER","BURK","11 MYSTIC LANE","LILLINGTON","NC","27546","910-514-7691","01/12/1983","244-39-1790","F",,"99000","03/24/09",,"O","708.9",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"0.00",0,"JENNELLE WILLIAMS"," MD (LP)",,27,3652,"185",
51009,"LALENA","ENSEY","19 COLDSTREAM DR","FT BRAGG","NC","28307","910-717-1273","01/04/1978","538-06-3411","F",,"99242","03/24/09",,"O","690.10",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"86.65",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3652,"183",
51010,"PEGGIE","HART","885 MERONICS CHURCH ROAD","BEAR CREEK","NC","27207","919-857-5363","08/13/1957","244-04-6340","F","B","99202","03/24/09",,"O","228.01","216.5",,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3652,"231",
51011,"ELIZABETH","HART","885 MERONIES CH RD","BEAR CREEK","NC","27207","919-837-5363","05/29/1985","239-47-3994","F",,"99202","03/24/09",,"O","216.5","709.09",,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3652,"256",
51012,"ANA","VENTURA","6010 SEDALIA CT","RALEIGH","NC","27610","919-961-4210","07/13/1976","622-70-4307","F",,"99213","05/20/09",,"O","706.1",,,,100,,0,,0,,0,,"89.00",0,"JENNELLE WILLIAMS"," MD (LP)",,27,3692,"309",
51013,"ELIZABETH","STEVENS","111 ARLEN PARK DRIVE","CHAPEL HILL","NC","27516","919-537-8401","03/24/1971","230-31-4369","F",,"LIGHTSHE","01/26/10",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3867,"308",,
51014,"SARAH","MINIS","522 WHITE OAK RD","BOONE","NC","28607","828-406-3125","08/15/1977","246-43-2291","F",,"LIGHTS-J","05/05/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3681,"432",,
51015,"TURQUOISE","WHITE","235 PICKETT CIRCLE","VASS","NC","28394","910-695-8828","07/27/1989","523-71-2939","F",,"99213","04/24/09",,"O","706.1",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"58.89",2,"DAVID TODD DEVRIES","MD",,23,3674,"788",
51016,"MEGAN","HUFF","235 PICKETT CIRCLE","VASS","NC","28394","910-695-8828","04/07/1992","514-06-8655","F",,"99202","03/24/09",,"O","216.0","706.1","757.39",,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"60.57",1,"DAVID TODD DEVRIES","MD",,23,3652,"340",
51017,"DANA","HUFF","235 PICKETT CIRCLE","VASS","NC","28394","910-695-8828","08/12/1970","515-74-6928","F",,"11900","03/24/09","59","O","078.10",,,,36,"TRICARE NORTH REGION",0,,0,,0,,"47.57",1,"DAVID TODD DEVRIES","MD",,23,3652,"344",
51018,"ALICIA","SANDERFORD","601 MONCURE FLATWOOD RD","MONCURE","NC","27559","919-776-3817","06/05/1981","241-59-8823","F",,"99213","12/15/09",,"O","696.1","696.0",,,2,"BCBS XMIT (NC)",0,,0,,0,,"108.50",1,"DAVID TODD DEVRIES","MD",,23,3840,"518",
51019,"CHUMKI","ROY","230 AARON CIRCLE DRIVE","DURHAM","NC","27713","919-402-7276","12/21/1982",,"F",,"99201","03/24/09",,"O","704.00",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"80.00",1,"DAVID TODD DEVRIES","MD",,23,3652,"366",
51020,"KATE","BELL","628 OAKFIELD TRAIL","MEBANE","NC","27302","919-321-2060","09/04/1978","227-33-0998","F","E","99212","05/27/09",,"O","881.00",,,,4,"MEDICARE XMIT (NC)",2,"BCBS XMIT (NC)",108,"MEDICAID",0,,"35.26",2,"BETH G.GOLDSTEIN","M.D",,1,3713,"3",
51021,"SCOTT","TRULOCK","1008 SOPHOMORE COURT","DURHAM","NC","27713","919-237-3955","07/27/1972","261-63-5264","M",,"99202","03/24/09",,"O","216.6",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3652,"537",
51022,"NICHOLAS","MOFFITT","201 ELDER RD","SILER CITY","NC","27344","919-742-4503","11/13/1987","237-59-8137","M","A","J3301","04/14/09",,"O","704.1",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"4.00",2,"JENNELLE WILLIAMS"," MD (LP)",,27,3666,"93",
51023,"ASHLEY","PADILLA","6509 BROOKSTONE LN #107","FAYETTEVILLE","NC","28314","352-339-4775","12/17/1980","592-11-2948","F",,"11300","03/24/09",,"O","238.2",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"113.56",1,"JENNELLE WILLIAMS","M.D.",,3,3652,"567",
51024,"RICHARD","GOSCH","2626 PICKETT RD","DURHAM","NC","27705","910-308-5809","12/24/1960","077-52-0568","M",,"99242","03/24/09",,"O","228.01","702.19",,,2,"BCBS XMIT (NC)",0,,0,,0,,"188.00",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3652,"327",
51025,"PATTERSON","WATKINS","705 FLAVION DR APT 105","RALEIGH","NC","27608","919-832-4659","05/27/1999",,"M",,"99201","03/24/09",,"O","701.4",,,,7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"80.00",2,"DAVID TODD DEVRIES","MD",,23,3667,"11",
51026,"KATHERINE","JOAQUIN","118 MCKINLEY DRIVE","RAEFORD","NC","28376","910-875-5913","06/28/1980","129-66-1366","F",,"99000","03/24/09",,"O","706.1",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"0.00",0,"DAVID TODD DEVRIES","MD",,23,3652,"489",
51027,"SUNG","KIM","1402 FOLSOM LANE","MORRISVILLE","NC","27560","919-957-4392","03/05/1952","603-01-4608","F","J","99213","03/24/09",,"O","704.8",,,,38,"AETNA NEIC",0,,0,,0,,"108.50",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3654,"316",
51028,"DIETER","PISOT","8210 STONE CELLAR DRIVE","RALEIGH","NC","27613","919-499-0529","05/19/1965","237-95-9520","M",,"99202","03/24/09",,"O","216.5","704.8",,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (LP)",,26,3652,"517",
51029,"PATRICIA","NELSON","220 ARCHDALE DRIVE","DURHAM","NC","27707","919-489-4454","05/26/1954","238-94-5336","F",,"99202","03/24/09",,"O","995.20",,,,20,"BCBS/FEDERAL EMPLOYEES",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3652,"510",
51030,"DEEPA","SAMBANDAN","121 SHADOW MOUNTAIN LANE","MORRISVILLE","NC","27560","919-539-7218","08/10/1976","238-99-2894","F",,"99213","01/26/10",,"O","690.10",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"108.50",7,"DAVID TODD DEVRIES","MD",,23,3866,"483",
51031,"JULIE","ALTIERI","112 OLD HERITAGE COURT","HILLSBOROUGH","NC","27278","919-732-1366","01/19/2005",,"F","A","99212","06/04/09",,"O","692.9",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"78.00",2,"MAYA BILIC JONAS","M.D.",,14,3702,"458",
51032,"SHELECIA","JOHNSON","1707 OLDE CAROLINA COURT","GRAHAM","NC","27253","336-270-3526","07/19/1972","243-21-9158","F","O","99202","03/25/09",,"O","373.31","690.10",,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3653,"30",
51033,"DEREK","MCNAIR","3320 HEWBERRY LANE","RALEIGH","NC","27610","919-395-1763","07/04/1971","242-21-3551","M","D","99201","03/25/09","25","O","238.2","704.8",,,64,"UNITED HEALTHCARE",0,,0,,0,,"80.00",1,"DAVID TODD DEVRIES","MD","#301",23,3653,"637",
51034,"ROBERT","CHRISTIAN","205 CALDERON DRIVE","CHAPEL HILL","NC","27516","919-967-6595","09/23/1951",,"M","B","99212","11/24/09","25","O","702.0","V10.83","709.2",,64,"UNITED HEALTHCARE",0,,0,,0,,"78.00",7,"BETH G.GOLDSTEIN","M.D",,1,3827,"100",
51035,"IRIS","CARLTON LANEY","1018 RED OAK AVE","DURHAM","NC","27707","919-683-1140","12/08/1949","237-84-9717","F","C","99212","06/22/09",,"O","706.1","709.09",,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"78.00",3,"JENNELLE WILLIAMS"," MD (ATC)",,36,3714,"344",
51036,"PAI","RIVERA","37 MAGNOLIA COURT","SANFORD","NC","27332","919-498-2582","04/29/1949","545-35-8543","F",,"99213","09/24/09","25","O","078.10","709.09",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"58.89",6,"DAVID TODD DEVRIES","MD",,23,3781,"447",
51037,"WILLIAM","POTEAT","438 W CAMERON AVE","CHAPEL HILL","NC","27516","919-932-7165","09/15/1941","414-64-1458","M","O","99202","03/25/09","25","O","702.0",,,,4,"MEDICARE XMIT (NC)",91,"WELLPATH",0,,0,,"60.57",1,"DAVID TODD DEVRIES","MD",,23,3653,"62",
51038,"RENEE","BANNISTER","5509 HALLMARK RD","DURHAM","NC","27712","919-471-6190","04/28/1963","231-13-7913","F",,"99242","03/25/09",,"O","690.10",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"86.65",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3653,"43",
51039,"DESIREE","KORELICH","208 COBALT RIDGE ROAD","HILLSBOROUGH","NC","27278","919-732-5803","03/28/1967","123-46-4274","F","C","CONSULT1","05/27/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3696,"248",,
51040,"DEBRA","WING","6202 CABIN BRANCH DRIVE","DURHAM","NC","27712","919-237-3020","08/09/1956",,"F",,"99242","03/25/09",,"O","692.4",,,,74,"PRIMAHEALTH IPA",0,,0,,0,,"188.00",1,"MAYA BILIC JONAS","M.D.",,14,3653,"461",
51041,"APRIL","MCGILL","801 E. WOODCROFT PKWY","DURHAM","NC","27713","864-266-2502","06/01/1981","249-67-2449","F",,"TAX","03/25/09",,"O","999",,,,1,,0,,0,,0,,"7.05",0,"BETH G. GOLDSTEIN"," M.D.",,9,3653,"484",
51042,"DANIELLE","GREEN","7204 CREEKGLEN WAY","APEX","NC","27502","919-633-8048","09/29/1970","112-70-4465","F",,"96900","10/29/09",,"O","706.1",,,,1,,0,,0,,0,,"50.00",0,"ANNE T CASPERSON","PAC",,34,3829,"867",
51043,"MARCUS","GREENE","1012 STURBRIDGE DR","DURHAM","NC","27713","919-399-0021","06/12/1973","054-64-8143","M",,"99201","03/25/09",,"O","704.8",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"80.00",1,"DAVID TODD DEVRIES","MD",,23,3653,"456",
51044,"PATRICIA","BARNES","308 VILLAGE CROSSING DR","CHAPEL HILL","NC","27517","919-338-2943","02/14/1953","243-96-7591","F","A","99212","04/30/09",,"O","695.3","702.19",,,69,"ASSURANT HEALTH PLUS/WELLPATH",0,,0,,0,,"78.00",3,"JENNELLE WILLIAMS"," MD (ATC)",,36,3678,"433",
51045,"RUPAL","YU","106 PRIMORSE LANE","CARRBORO","NC","27510","919-321-0919","11/25/1977",,"F",,"MASSAGE","03/25/09",,"O","999",,,,1,,0,,0,,0,,"5.00",0,"BETH GOLDSTEIN MD",,2,3653,"442",,
51046,"KRISHNA","PAREKH","1630 SNOWMASS WAY","DURHAM","NC","27713","919-357-4646","05/09/1983","075-68-6637","F","N","99213","05/08/09",,"O","706.1","704.00","709.09",,9,"STUDENT RESOURCES",0,,0,,0,,"108.50",2,"MAYA BILIC JONAS","M.D.",,14,3684,"1022",
51047,"GRECIA","JUAREZ","781 W. DOLPHIN ST","SILER CITY","NC","27344","919-742-3376","02/22/2003",,"F",,"99213","04/21/09",,"O","696.5","697.8",,,7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"58.89",2,"DAVID TODD DEVRIES","MD",,23,3671,"299",
51048,"SIGAL","PETER-WOHL","308 SILVER CREEK TRAIL","CHAPEL HILL","NC","27514","919-338-8179","03/29/1967","289-98-9750","F",,"99213","01/27/10",,"O","702.19","216.5","216.6","216.7",64,"UNITED HEALTHCARE",0,,0,,0,,"108.50",2,"BETH G.GOLDSTEIN","M.D",,1,3868,"55",
51050,"ALICIA","ROSS","8004 SUNDANCE CIRCLE","DURHAM","NC","27713","389-1587","10/01/1979",,"F",,"99213","01/05/10",,"O","216.5",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"108.50",3,"MAYA BILIC JONAS"," MD (LP)",,28,3851,"428",
51049,"CHRISTINE","MCGARRY","5855 OLD OAK RIDGE RD","GREENSBORO","NC","27410","910-578-5712","05/30/1985","085-78-8942","F",,"99212","09/01/09",,"O","706.1","216.5",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"35.26",6,"DAVID DEVRIES"," MD (ATC)","APT 2803",37,3765,"29",
51051,"THELMA","BULLOCK","7080 HWY 15 N","OXFORD","NC","27565","919-693-1793","07/27/1954","242-92-9711","F","G","99212","01/05/10",,"O","454.1",,,,4,"MEDICARE XMIT (NC)",24,"BCBS/STATE HEALTH PLAN",0,,0,,"35.26",4,"JENNELLE WILLIAMS"," MD (LP)",,27,3852,"41",
51052,"KRISTI","LONG","5024 HEATHRIDGE TERRACE","GREENSBORO","NC","27410","336-707-0016","09/25/1972","243-06-3246","F","L","99202","03/25/09",,"O","706.9","228.01","216.5",,64,"UNITED HEALTHCARE",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (LP)",,26,3653,"178",
51053,"KATHERINE","HOYT","741 THRUSH DRIVE","VASS","NC","28394","910-245-3746","04/26/1981","224-49-3648","F",,"81025","11/24/09","QW","O","706.1",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"40.00",8,"ANNE T CASPERSON","PAC",,34,3827,"633",
51054,"AMANDA","STURM","1025 EXCHANGE PLACE","DURHAM","NC","27713","919-619-2003","09/07/1980","105-72-1969","F",,"99213","10/01/09",,"O","706.1","757.39","216.5","216.6",24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"108.50",4,"DAVID DEVRIES"," MD (ATC)",,37,3786,"130",
51055,"PAUL","GABRIELSON","2637 SHADETREE LN","HILLSBOROUGH","NC","27278","919-644-3238","11/19/1952","219-56-7323","M",,"99203","03/25/09",,"O","216.5","228.01",,,2,"BCBS XMIT (NC)",0,,0,,0,,"198.00",1,"DAVID TODD DEVRIES","MD",,23,3653,"425",
51056,"JESICA","SPEED","109 SULLY COURT","CHAPEL HILL","NC","27514","314-706-1031","10/31/1984","405-25-0548","F",,"99242","03/25/09",,"O","706.1",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"188.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3653,"422",
51057,"SARAH","HATCHER","112 TWELVE OAK DRIVE","WALLACE","NC","28466","910-398-3436","07/07/1988","243-69-0787","F",,"99024","07/09/09",,"O","V58.32",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"0.00",0,"BETH G. GOLDSTEIN"," MD (LP)",,26,3727,"318",
51058,"ILENE","SPERLING","2321 ENGLEWOOD AVE","DURHAM","NC","27705","919-286-1005","05/26/1971","051-64-6185","F",,"99202","03/25/09",,"O","216.3","216.6","706.1",,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3653,"234",
51059,"SEAN","COLEMAN","601 FRIENDWAY ROAD","GREENSBORO","NC","27410","910-587-9350","03/24/1984","562-87-1391","M","A","99212","08/25/09",,"O","704.8","709.09","706.9",,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"35.26",4,"JENNELLE WILLIAMS"," MD (ATC)",,36,3760,"267",
51060,"PAMELA","VINSON","1224 ASHTON HOLLOW DRIVE","RALEIGH","NC","27603","919-661-6258","04/24/1969","245-42-2578","F",,"99242","03/25/09","25","O","238.2","692.9",,,7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"86.65",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3653,"666",
51061,"ALLISON","ABRAHAM","405 S. DOUGHERTY DRIVE","FT BRAGG","NC","28307","210-548-9990","11/12/1987","255-73-0971","F",,"99242","03/25/09","25","O","238.2","216.5",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"86.65",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3653,"669",
51062,"GERALD","BRIDGES","2001 CEDAR LAKE ROAD","SANFORD","NC","27330","919-718-0322","03/31/1950","241-84-0048","M",,"99203","03/25/09",,"O","702.0","702.19","216.5","709.09",2,"BCBS XMIT (NC)",0,,0,,0,,"198.00",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3653,"611",
51063,"KERRY","KING","3310 COTTON MILL DRIVE","RALEIGH","NC","27612","919-451-6717","03/24/1984","242-43-9643","F",,"99202","03/25/09",,"O","702.0","692.9",,,74,"PRIMAHEALTH IPA",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3653,"606",
51064,"KAITLYN","ODONNELL","7109 MONTIBELLO PKWY","DURHAM","NC","27713","919-237-1260","08/03/2002",,"F",,"99211","04/29/09",,"O","078.10",,,,38,"AETNA NEIC",0,,0,,0,,"43.50",2,"DAVID DEVRIES"," MD (LP)",,40,3677,"644",
51065,"RAMESH","CHAND","1323 CHINA DRIVE","MORRISVILLE","NC","27560","919-389-2445","09/23/1979","499-19-2265","M",,"99000","03/25/09",,"O","704.00",,,,38,"AETNA NEIC",0,,0,,0,,"40.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3653,"592",
51066,"BRENDA","CORREA","605 NORTHVIEW DRIVE","SANFORD","NC","27332","919-498-9537","07/04/1978","614-58-9615","F","H","CONSULT2","03/25/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3653,"542",,
51067,"AMY","JAWORSKI","153 LAUREL CT","WINTON SALEM","NC","27127","336-813-1247","05/31/1987","242-53-1723","F","M","99202","03/26/09",,"O","706.1",,,,69,"WELLPATH",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3654,"210",
51068,"PAUL","DUNLAP","403 CAROLINA CIRCLE","DURHAM","NC","27707","919-419-0873","11/08/1960","447-68-8146","M",,"99024","05/26/09",,"O","V58.32",,,,38,"AETNA NEIC",0,,0,,0,,"0.00",0,"JENNELLE WILLIAMS"," MD (ATC)",,36,3695,"71",
51070,"VALERIE","POWERS","8611 CURTIS POWERS ROAD","BENNETT","NC","27208","336-581-3166","11/29/1956","573-31-7835","F","S","88305","03/26/09",,"PATH","238.2",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"105.00",1,"MAYA BILIC JONAS","M.D.",,14,3654,"569",
51069,"KRYSTAL","HOLMAN","4830 WYATT BROOK WAY","RALEIGH","NC","27609","919-949-3898","11/05/1985","243-47-7412","F",,"99213","12/15/09",,"O","216.7",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"108.50",7,"MAYA BILIC JONAS","M.D.",,14,3839,"548",
51071,"LARRY","JOYCE","PO BOX 89","BENNETT","NC","27208","336-581-3610","04/26/1936","238-50-9551","M","B","99024","09/10/09",,"O","V58.32",,,,4,"MEDICARE XMIT (NC)",35,"AARP-UNITED HEALTHCARE",0,,0,,"0.00",0,"MAYA BILIC JONAS","M.D.",,14,3771,"38",
51072,"JULIO","MARTINEZ","108 RIDGE COURT","SILER CITY","NC","27344","919-842-8203","05/12/1998","246-87-6825","M","A","99202","03/26/09",,"O","692.9",,,,78,"BCBS NC HEALTH CHOICE",0,,0,,0,,"133.00",1,"MAYA BILIC JONAS","M.D.",,14,3654,"514",
51073,"ANNIE","LOFTIS","1421 NORMANDY DR","BURLINGTON","NC","27215","336-270-3138","03/06/1931","237-40-8111","F",,"17003","12/15/09","KX","O","702.0",,,,4,"MEDICARE XMIT (NC)",2,"BCBS XMIT (NC)",0,,0,,"70.62",3,"JENNELLE WILLIAMS"," MD (ATC)",,36,3841,"764",
51074,"LORENA","BENNETT","115 ERLWOOD WAY","DURHAM","NC","27704","443-244-1092","05/08/1986","218-73-4444","F",,"99202","03/26/09",,"O","695.3","216.5","757.39",,112,"BEECH STREET",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS","M.D.","APT 203",3,3654,"258",
51075,"BRITTANY","PILLAR","40 RAINWOOD CT","LOUISBURG","NC","27549","919-562-9982","03/20/1983","158-74-3352","F",,"88305","03/26/09",,"PATH","238.2",,,,112,"BEECH STREET",0,,0,,0,,"525.00",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3654,"267",
51076,"MATTIE","AYCOCK","6 FOXRIDGE RD.","CHAPEL HILL","NC","27514","933-3200","11/09/1944","240-76-8244","F","H","99212","07/27/09",,"O","695.3",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"78.00",2,"JENNELLE WILLIAMS","M.D.",,3,3740,"305",
51077,"KATHRYN","KATSAHNIAS","207 SONOMA VALLEY DRIVE","CARY","NC","27518","919-244-1376","02/02/1989","323-82-3095","F",,"TAX","01/21/10",,"O","999",,,,1,,0,,0,,0,,"3.84",0,"BETH G. GOLDSTEIN"," M.D.",,9,3864,"228",
51078,"ARLENE","DAVIS","67 HAWFIELD DRIVE","PITTSBORO","NC","27312","919-942-8408","04/30/1955",,"F",,"WAXING","12/21/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3844,"538",,
51079,"DIANE","WALKER","1128 TACKETTS POND DR","RALEIGH","NC","27614","919-468-8943","07/26/1969","080-62-6403","F",,"99000","04/21/09",,"O","704.8",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"25.00",1,"BETH G.GOLDSTEIN","M.D",,1,3671,"229",
51080,"BRIAN","WHITE","339 ROSE WALK LN","CARRBORO","NC","27510","919-537-8830","11/16/1979","313-84-1946","M",,"99213","01/06/10",,"O","706.1","216.5",,,64,"UNITED HEALTHCARE",0,,0,,0,,"108.50",6,"BETH G. GOLDSTEIN"," MD (LP)",,26,3852,"971",
51081,"FATMATA","BRIMA","313 S. ESTES DR","CHAPEL HILL","NC","27517","919-942-6938","01/11/1965","424-99-2964","F",,"99024","05/21/09",,"O","V58.32",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"0.00",0,"JENNELLE WILLIAMS"," MD (ATC)",,36,3693,"23",
51082,"KELLY","WAYNE","106 COMMONS WAY","CHAPEL HILL","NC","27516","919-960-4336","04/24/1963","235-98-4972","F","E","99203","03/26/09",,"O","216.5","216.6","702.19","216.7",26,"CIGNA - NEIC XMIT",0,,0,,0,,"198.00",1,"JENNELLE WILLIAMS","M.D.",,3,3654,"212",
51083,"COREY","HASWELL","12023 WICKER DRIVE","CHAPEL HILL","NC","27517","919-401-0123","08/20/2004",,"M","J","99212","06/16/09","25","O","078.10",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"78.00",2,"JENNELLE WILLIAMS"," MD (ATC)",,36,3710,"120",
51084,"KADERA","FISHER","1037 DUSFORD PLACE","CARY","NC","27511","469-9551","05/02/1982","232-35-3912","F","A","99242","03/26/09","25","O","238.2",,,,108,"MEDICAID",0,,0,,0,,"86.65",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3654,"235",
51085,"KEIRA","THOMAS","1403 ROBERSON DR","TARBORO","NC","27886","252-823-0763","10/02/2006","689-10-4645","F","A","99242","03/26/09",,"O","692.9",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"188.00",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3654,"336",
51086,"JONATHAN","TALLEY","PO BOX 575","GOLDSTON","NC","27252","919-837-2151","03/08/1975","246-41-6625","M","R","88305","03/26/09",,"PATH","238.2",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"105.00",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3654,"398",
51087,"LAUREN","HERRON","465 MAYFARM ROAD","PITTSBORO","NC","27312","540-645-1891","03/08/1990",,"F","M","99213","12/04/09",,"O","706.1",,,,20,"BCBS/FEDERAL EMPLOYEES",0,,0,,0,,"108.50",4,"MAYA BILIC JONAS","M.D.",,14,3833,"273",
51088,"MARY","DEXTER","29 ROGERSON DR","CHAPEL HILL","NC","27517","919-933-4208","11/28/1939","085-32-8261","F",,"99212","04/28/09","25","O","702.0",,,,4,"MEDICARE XMIT (NC)",2,"BCBS XMIT (NC)",0,,0,,"35.26",2,"JENNELLE WILLIAMS","M.D.",,3,3676,"124",
51089,"TONY","CRAIG","1625 BOONE TRAIL ROAD","SANFORD","NC","27330","919-770-3717","03/16/1958",,"M","A","88305TC","01/21/10","TC","O","238.2",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"95.00",5,"MAYA BILIC JONAS","M.D.",,14,3864,"667",
51090,"JUSTIN","LONG","2701 HOMESTEAD RD","CHAPEL HILL","NC","27516","276-614-6800","04/11/1986","610-42-0921","M",,"99024","04/09/09",,"O","V58.32",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"0.00",0,"JENNELLE WILLIAMS"," MD (LP)","APT 1104",27,3664,"120",
51091,"FRANK","DELPALAZZO"," JR","425 ROLLING HILL ROAD","SANFORD","NC","27330","919-775-1103","05/15/1998",,"M","J","99212","05/28/09",,"O","692.9",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"78.00",2,"MAYA BILIC JONAS","M.D.",,14,3697,"113"
51092,"FRANK","DELPALAZZO","425 ROLLING HILL ROAD","SANFORD","NC","27330","919-775-1103","11/28/1942","136-32-8864","M",,"11200","03/26/09",,"O","V50.9",,,,1,,0,,0,,0,,"80.00",0,"MAYA BILIC JONAS","M.D.",,14,3654,"559",
51093,"LAURA","BREWER","801 E WOODCROFT PKWY","DURHAM","NC","27713","919-619-7651","07/14/1978","327-68-9083","F",,"99202","03/26/09",,"O","706.1","692.9","216.3","216.5",74,"PRIMAHEALTH IPA",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS","M.D.","#3103",3,3654,"443",
51094,"MATTHEW","HERR","180 BPW CLUB RD","CARRBORO","NC","27510","919-240-4247","07/02/1984","474-11-7914","M","P","99203","03/26/09",,"O","216.3","216.5","216.6","216.7",24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"198.00",1,"JENNELLE WILLIAMS","M.D.","APT C7",3,3654,"445",
51095,"SHARRON","HINTON","P.O BOX 16233","CHAPEL HILL","NC","27516","644-0398","09/18/1959",,,,"MASSAGE","03/26/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3655,"451",,
51096,"BROOK","HAITH","1835 CHEEK RD APT 12B","DURHAM","NC","27704","336-214-9896","09/02/1992",,"F",,"99212","05/22/09",,"O","706.1",,,,7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"35.26",2,"DAVID DEVRIES"," MD (LP)",,40,3694,"623",
51097,"JOSEPH","JACOBS","516 CASEY LN","MEBANE","NC","27302","919-563-4823","04/26/1974",,"M","P","99202","03/26/09",,"O","692.74","216.5",,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (LP)",,26,3658,"646",
51098,"MARY","LINEBERGER","611 HILLSBOROUGH ST APT 3","CHAPEL HILL","NC","27514","704-530-3428","04/24/1987","241-55-1973","F","H","99000","07/30/09",,"O","696.1",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"25.00",22,"DAVID DEVRIES"," MD (LP)",,40,3742,"795",
51099,"CLAUDIA","KITTREDGE","304 RHODODENDRON DRIVE","CHAPEL HILL","NC","27517","305-775-5912","08/27/1970","023-66-8160","F",,"99212","05/29/09",,"O","706.2",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"78.00",2,"BETH G. GOLDSTEIN"," MD (LP)",,26,3813,"475",
51100,"MARTHA MARTI","KEPNER","4912 GABLE RIDGE","DURHAM","NC","27713","919-401-0023","06/21/1975","238-51-5880","F",,"CONSULT1","03/26/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"SARAH SIDIQI"," FNP (COSMETIC)",,47,3656,"424",
51101,"SARAH","WILSON","709 VOYAGER PL","DURHAM","NC","27712","919-475-7089","05/13/1984","244-43-7347","F","K","99202","03/27/09",,"O","706.1","216.7",,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3655,"348",
51102,"GLORIA","DEWEY","19 BRETON PL","DURHAM","NC","27707","919-493-1139","07/05/1940","296-36-7118","F",,"17003","03/27/09","KX","O","702.0",,,,4,"MEDICARE XMIT (NC)",2,"BCBS XMIT (NC)",0,,0,,"12.84",1,"JENNELLE WILLIAMS","M.D.",,3,3654,"655",
51103,"ELIZABETH","GREENLEE","140 BPW CLUB RD APT F15","CARRBORO","NC","27510","336-327-1547","02/04/1970","243-02-7696","F","G","99242","03/27/09",,"O","704.00",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"188.00",1,"MAYA BILIC JONAS","M.D.",,14,3655,"173",
51104,"RYLEIGH","FREDERICKS","58 POLK STREET","SPRING LAKE","NC","28390","910-960-5335","07/05/1996",,"F",,"99211","04/29/09","25","O","228.01",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"17.70",2,"JENNELLE WILLIAMS"," MD (LP)",,27,3677,"271",
51105,"MARY","GLENN","110 HUNTER HILL RD","CHAPEL HILL","NC","27516","919-942-7060","02/12/1937","246-52-0260","F",,"99203","03/27/09","25","O","695.3","216.7","448.9","238.2",102,"HUMANA GOLD CHOICE",0,,0,,0,,"87.75",1,"JENNELLE WILLIAMS","M.D.",,3,3670,"101",
51106,"JOHN","GILMORE","73 BALTIC CIRCLE","FT BRAGG","NC","28307","910-644-1392","09/08/1971","216-84-7105","M",,"99242","03/27/09",,"O","111.0","706.9","692.4",,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"86.65",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3655,"98",
51107,"CONNIE","RIGSBEE","216 POPLAR STREET","CARY","NC","27511","919-388-3849","05/30/1967","244-39-9608","F",,"84460","10/27/09","QW","O","110.1",,,,39,"MEDCOST",0,,0,,0,,"15.00",2,"JENNELLE WILLIAMS"," MD (LP)",,27,3806,"139",
51108,"ANNE","SANDERS","511 HILLSBOROUGH STREET","CHAPEL HILL","NC","27514","919-929-5394","04/06/1961","380-33-6674","F",,"17110","09/23/09",,"O","702.11",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"140.00",1,"DAVID TODD DEVRIES","MD","UNIT 113",23,3779,"574",
51110,"LAUREN","MORRIS","408 MCLEAN STREET","FUQUAY-VARINA","NC","27526","919-753-7127","12/17/1994",,"F",,"99243","03/27/09",,"O","695.3","706.2",,,108,"MEDICAID",0,,0,,0,,"119.15",1,"MAYA BILIC JONAS","M.D.",,14,3655,"393",
51109,"KYLE","BLACKBURN","59 SANDPIPER DR","WHISPERING PINE","NC","28327","910-949-3604","04/02/1992","625-58-3280","M","A","99212","07/28/09",,"O","696.1",,,,36,"TRICARE MID-ATLANTIC",120,"MOAA",0,,0,,"35.26",2,"MAYA BILIC JONAS","M.D.",,14,3740,"788",
51111,"PIERRE","SUMMERS","780 CALVARY CHURCH ROAD","SANFORD","NC","27332","919-499-6012","03/19/1975","221-56-5807","M",,"11440","03/27/09",,"O","238.2",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"107.01",1,"ANNE T CASPERSON","PAC",,34,3655,"589",
51112,"RANDI","ANTWORTH","5608 FRENCHMANS CREEK DR","DURHAM","NC","27713","919-308-4874","05/20/1981","372-06-0155","F","M","99203","03/27/09","25","O","238.2","228.01","216.5","702.19",69,"WELLPATH",0,,0,,0,,"198.00",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3655,"585",
51113,"KAREN","BAKE","206 ARNOLD DRIVE","FT BRAGG","NC","28307","919-602-0837","08/03/1985","245-65-7793","F",,"99212","05/04/09","25","O","078.0","706.1",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"35.26",2,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3680,"154",
51114,"KAYLA","SHAVE","300 MAHONE STREET","DURHAM","NC","27713","919-237-2483","01/07/2003",,"F",,"99202","03/27/09",,"O","692.9",,,,78,"BCBS NC HEALTH CHOICE",0,,0,,0,,"133.00",1,"MAYA BILIC JONAS","M.D.","#16",14,3660,"689",
51115,"CHRISTOPHER","BAILEY","317 MONTANA LN","SPRING LAKE","NC","28390","910-436-3479","06/10/1958","281-64-5338","M","G","99242","03/27/09","25","O","238.2","228.01","216.3",,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"86.65",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3655,"547",
51116,"WILHELMENI","DELK","100 VILLAGE CIRCLE WAY","DURHAM","NC","27713","757-676-8404","09/02/1947","230-68-3620","F","D","99242","03/27/09",,"O","692.9","702.19",,,20,"BCBS/FEDERAL EMPLOYEES",0,,0,,0,,"188.00",1,"MAYA BILIC JONAS","M.D.","APT 1102",14,3655,"564",
51117,"COMPTON","GIFT","2901 KINGSTON AVE","DURHAM","NC","27704","919-680-6688","06/21/1968","041-62-8152","M",,"95044","03/27/09",,"O","692.4",,,,38,"AETNA NEIC",0,,0,,0,,"15.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3655,"666",
51118,"DOROTHY","FIDDLEMAN","110 CRICKET GROUND","DURHAM","NC","27707","919-408-0692","09/17/1939","220-36-5872","F","E","99201","03/30/09","25","O","702.0",,,,4,"MEDICARE XMIT (NC)",24,"BCBS/STATE HEALTH PLAN",0,,0,,"34.93",1,"DAVID TODD DEVRIES","MD",,23,3655,"622",
51119,"KRISTA","BRASWELL","5 COLONY CT","CHAPEL HILL","NC","27516","704-562-4382","12/25/1987","242-65-4846","F","M","99212","08/24/09",,"O","216.4","216.5",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"35.26",2,"JENNELLE WILLIAMS"," MD (ATC)",,36,3758,"467",
51120,"SHEILA","BUCKHORN","317 STEEPLE ROAD","HOLLY SPRINGS","NC","27540","919-762-9066","03/29/1978","448-90-3201","F",,"99213","06/22/09",,"O","031.1",,,,24,"BCBS/STATE HEALTH PLAN",64,"UNITED HEALTHCARE",0,,0,,"108.50",2,"DAVID TODD DEVRIES","MD",,23,3714,"387",
51121,"CODY","TOELLEN","3201 CLOVERDALE COURT","EFLAND","NC","27243","919-304-6663","10/28/1992",,"M",,"99202","03/30/09",,"O","110.4",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"DAVID TODD DEVRIES","MD",,23,3656,"34",
51122,"KIMBERLY","BREWCZAK","262 OLD CHESTNUT CROSSING","MONCURE","NC","27559","919-542-6223","08/10/1960","371-70-1447","F",,"99213","01/06/10",,"O","706.1",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"108.50",4,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3853,"157",
51123,"RICHARD","VANWY JR","1413 PAISLEY AVE","FAYETTEVILLE","NC","28304","910-423-2456","12/29/1958","558-23-1612","M",,"17003","03/30/09",,"O","702.0",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"6.42",1,"DAVID TODD DEVRIES","MD",,23,3656,"49",
51124,"TERESA","TUCKER","917 NEW HOPE CHURCH ROAD","CHAPEL HILL","NC","27516","919-370-7453","05/16/1964",,"F",,"99201","05/07/09",,"O","706.2","706.9",,,2,"BCBS XMIT (NC)",0,,0,,0,,"80.00",1,"DAVID TODD DEVRIES","MD",,23,3683,"179",
51125,"ALKUA","HARRIS","6734 GUESS ROAD","HILLSBOROUGH","NC","27278","919-237-2677","01/27/1966","065-58-5099","F","D","99212","01/18/10",,"O","709.09",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"78.00",3,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3861,"164",
51126,"THEODORE","BALL","3311 GROVE CRABTREE CRESC","RALEIGH","NC","27613","919-803-8404","06/09/1955","226-86-6819","M","D","17003","07/28/09",,"O","702.0",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"6.42",5,"BETH G. GOLDSTEIN"," MD (ATC)","APT. 113",35,3740,"888",
51127,"MARY","BATTEN","5256 GOLDSTON/CARBONTON","GOLDSTON","NC","27252","919-776-8191","08/01/1959","246-08-6106","F","D","99024","04/23/09",,"O","V58.32",,,,26,"CIGNA - NEIC XMIT",64,"UNITED HEALTHCARE",0,,0,,"0.00",0,"JENNELLE WILLIAMS","M.D.","ROAD",3,3673,"65",
51128,"DUSTIN","MELTON","613 ABBEY HALL WAY","CARY","NC","27513","910-995-1071","04/13/1983",,"M",,"11900","04/30/09",,"O","078.10",,,,13,"BCBS/PCP OF NC",0,,0,,0,,"102.50",2,"DAVID TODD DEVRIES","MD",,23,3678,"997",
51129,"CHERYL","MICHALSON-TROY","PO BOX 51577","DURHAM","NC","27717","919-544-1819","10/21/1962","140-62-9119","F","D","99000","04/27/09",,"O","706.1",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"25.00",3,"JENNELLE WILLIAMS","M.D.",,3,3720,"688",
51130,"ERIN","DUCKWORTH","38 COYT CIRCLE","SPRING LAKE","NC","28390","910-495-0193","05/13/1996","486-13-2282","F","M","99242","03/30/09",,"O","706.1","692.9",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"86.65",1,"DAVID DEVRIES"," MD (ATC)",,37,3656,"276",
51131,"EMANNUEL","WOOD","1708 SINGING SOUND WAY","SILER CITY","NC","27344","919-663-1708","05/29/1995","240-81-6182","M",,"99212","05/15/09",,"O","701.2",,,,78,"BCBS NC HEALTH CHOICE",0,,0,,0,,"78.00",4,"DAVID DEVRIES"," MD (ATC)",,37,3689,"282",
51132,"MICHAEL","SHEPPARD","11120 GOVERNORS DR","CHAPEL HILL","NC","27517","919-942-6625","08/17/1949","441-56-5621","M","T","88305","03/30/09",,"PATH","238.2",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"105.00",1,"JENNELLE WILLIAMS","M.D.",,3,3656,"769",
51133,"JOAN","WARD","8713 ROLLINGWOOD ROAD","CHAPEL HILL","NC","27516","919-942-3006","03/26/1943","237-64-7741","F","P","99203","03/30/09",,"O","695.10",,,,4,"MEDICARE XMIT (NC)",24,"BCBS/STATE HEALTH PLAN",0,,0,,"87.75",1,"JENNELLE WILLIAMS","M.D.",,3,3657,"362",
51134,"JAMES","GOFFENA","215-B HILLSBOROUGH ST","CHAPEL HILL","NC","27514","919-967-9277","03/30/1974","274-66-4923","M","R","99212","04/20/09",,"O","690.10",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"78.00",2,"DAVID TODD DEVRIES","MD",,23,3669,"1372",
51135,"JIM","HODSON","4406 PING CT","FAYETTEVILLE","NC","28312","910-286-1211","02/23/1976","357-76-5719","M","R","99202","03/30/09",,"O","706.1",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"60.57",1,"DAVID TODD DEVRIES","MD",,23,3656,"626",
51136,"JAMILA","SCHWARTZ","1000 SMITH LEVEL ROAD","CARRBORO","NC","27510","919-929-2895","05/22/1984",,"F",,"LIGHTSHE","08/12/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD","APT C4",2,3751,"342",,
51137,"ERIN","SANFORD","914 CEDAR FORK TRAIL","CHAPEL HILL","NC","27514","932-7721","07/31/1963","031-52-3080","F",,"99201","03/31/09","25","O","078.10","702.19",,,2,"BCBS XMIT (NC)",0,,0,,0,,"80.00",1,"DAVID TODD DEVRIES","MD",,23,3657,"340",
51138,"REMY ROSE","CAPLAN","1034 TORREY PINES PLACE","CHAPEL HILL","NC","27517","919-918-7626","06/20/2005",,"F","S","99212","01/04/10",,"O","216.5",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"78.00",2,"DAVID TODD DEVRIES","MD",,23,3851,"151",
51139,"MAX","OWEN","327 CIRCLE PARK PLACE","CHAPEL HILL","NC","27517","919-537-8916","03/12/1969",,"M",,"99202","03/31/09",,"O","782.1",,,,100,,0,,0,,0,,"92.00",0,"DAVID TODD DEVRIES","MD",,23,3657,"392",
51140,"LORI","LIETO-MOHRMANN","5721 CHAMBERS COURT","CEDAR GROVE","NC","27231","919-245-3984","12/09/1957","097-52-4070","F","E","88305","04/02/09",,"PATH","232.5","238.2",,,2,"BCBS XMIT (NC)",0,,0,,0,,"210.00",2,"DAVID TODD DEVRIES","MD",,23,3683,"55",
51141,"MICHAEL","SMITH","1505 DAIRYLAND RD","CHAPEL HILL","NC","27516","919-960-5332","10/13/1976","242-39-6463","M",,"88305","04/13/09",,"PATH","238.2",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"105.00",2,"DAVID TODD DEVRIES","MD",,23,3665,"334",
51142,"YAIR","MADAR","110 W NC 54 HWY BYP #71","CHAPEL HILL","NC","27516","919-951-8267","09/18/1997",,"M",,"99201","03/31/09","25","O","078.10","216.2",,,64,"UNITED HEALTHCARE",0,,0,,0,,"80.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3657,"334",
51143,"DANA","POSTIGLIONE","8 ABINGDON WAY","DURHAM","NC","27713","919-544-1058","12/28/1948","451-88-7149","F","A","17110","03/31/09",,"O","V50.9",,,,1,,0,,0,,0,,"75.00",0,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3657,"423",
51144,"GRACEANNA","BROGGI","PO BOX 319","SEABROOK","SC","29940","843-812-0247","10/15/1985","453-93-6040","F",,"99213","04/15/09","25","O","078.10","706.1","692.9",,2,"BCBS XMIT (NC)",0,,0,,0,,"108.50",2,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3667,"84",
51145,"PATRICIA","SCOLNIK","1627 ST MARY'S ROAD","HILLSBOROUGH","NC","27278","919-918-7976","09/14/1947","277-46-0375","F","A","88305","03/31/09",,"PATH","238.2",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"210.00",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3656,"869",
51146,"EMILY","HOWER","1705 W KNOX STREET","DURHAM","NC","27705","919-260-9631","08/19/1987","243-65-4919","F",,"LIGHTSHE","09/29/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3784,"503",,
51148,"JACQUELINE","REDDISH","32 YORKFIELD COURT","DURHAM","NC","27713","919-765-5981","12/21/1992","240-75-9402","F",,"99213","01/12/10",,"O","706.1",,,,7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"58.89",3,"DAVID TODD DEVRIES","MD",,23,3856,"612",
51147,"MUTHUKUMARAN","TAMILSELVAN","525 SEAN FRANCIS WAY","DURHAM","NC","27713","919-638-8918","11/30/1980","690-16-9852","M",,"99202","03/31/09",,"O","692.9",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS","M.D.",,3,3656,"862",
51149,"PATRICIA","BERZINS","7301 MONTIBELLO PKWY","DURHAM","NC","27713","919-237-1912","01/22/1953","554-86-8797","F","C","88305","03/31/09",,"PATH","238.2",,,,20,"BCBS/FEDERAL EMPLOYEES",0,,0,,0,,"105.00",1,"MAYA BILIC JONAS","M.D.",,14,3657,"332",
51150,"JANEE","STARKS","PO BOX 51914","DURHAM","NC","27717","919-308-1043","09/02/1976","218-02-3362","F",,"99202","03/31/09",,"O","706.1",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3660,"801",
51151,"GRETA","KAEMPF","882 CONSERVATION LN","HARWOOD","MD","20776","443-254-0458","01/14/1987","212-19-5703","F",,"99024","04/07/09",,"O","V58.32",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"0.00",0,"DAVID TODD DEVRIES","MD",,23,3662,"450",
51152,"JALEN","JOHNLEWIS","1301 JACKSON ST","DURHAM","NC","27701","919-403-0135","12/02/2008",,"M","N","99212","04/23/09",,"O","692.9",,,,7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"35.26",2,"JENNELLE WILLIAMS"," MD (ATC)",,36,3673,"66",
51153,"TRISTAN","CHURCH","41 CRYSTAL POINT","SANFORD","NC","27332","910-565-0629","11/07/2007",,"M","A","99202","03/31/09",,"O","216.6","757.32",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"60.57",1,"DAVID TODD DEVRIES","MD",,23,3658,"334",
51154,"CINDY","HAYNES-MORGAN","229 PEBBLESTONE DRIVE","DURHAM","NC","27703","919-957-7531","06/26/1971","241-33-0142","F",,"99000","03/31/09",,"O","704.00",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"25.00",1,"DAVID TODD DEVRIES","MD",,23,3658,"311",
51155,"LORI","BATTEN","1311 FAY STREET","DURHAM","NC","27701","919-824-1984","11/02/1960","244-17-1074","F",,"99024","08/26/09",,"O","V58.32",,,,7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"0.00",0,"DAVID TODD DEVRIES","MD","APT. A",23,3760,"782",
51156,"TERRI","EDDINS","1300 CHATHAM CHURCH RD","MONCURE","NC","27559","919-542-5796","08/04/1974","239-53-9793","F","D","99213","04/28/09","25","O","238.2","216.5",,,64,"UNITED HEALTHCARE",0,,0,,0,,"108.50",2,"JENNELLE WILLIAMS"," MD (LP)",,27,3676,"206",
51157,"JENNINGS","LANTZ","73 RED HOLLY DRIVE","SANFORD","NC","27330","919-776-8604","08/01/1949","237-86-2167","M","C","17003","09/10/09",,"O","702.0",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"6.42",3,"DAVID TODD DEVRIES","MD",,23,3771,"696",
51158,"BRENDA","LANTZ","73 RED HOLLY DRIVE","SANFORD","NC","27330","919-776-8604","08/22/1950","240-88-3673","F","A","99213","04/23/09",,"O","695.3",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"58.89",2,"DAVID TODD DEVRIES","MD",,23,3673,"514",
51159,"EBBIE","HENDREN","105 JOUST CT.","CARY","NC","27513","469-5518","03/12/1959","241-15-0067","F","W","99024","04/17/09",,"O","V58.32",,,,38,"AETNA NEIC",0,,0,,0,,"0.00",0,"BETH G.GOLDSTEIN","M.D",,1,3669,"158",
51160,"CRAIG","TATE","802 WEST MAIN ST","CARRBORO","NC","27510","919-942-7391","10/28/1964","244-06-8537","M",,"99213","10/06/09",,"O","690.10",,,,4,"MEDICARE XMIT (NC)",108,"MEDICAID",0,,0,,"58.89",3,"DAVID TODD DEVRIES","MD",,23,3788,"857",
51161,"ALEXANDER","SAUNDERS","416 BRIDLE PATH ROAD","GOLDSBORO","NC","27534","919-394-1890","11/14/1980","255-37-6045","M",,"99201","03/31/09",,"O","214.1",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"34.93",1,"DAVID TODD DEVRIES","MD",,23,3657,"470",
51162,"MAXIMILIAN","LEE","125 FALLING WATER RD","SPRING LAKE","NC","28390","910-814-2132","11/13/1972","559-97-6872","M","S","99201","03/31/09","25","O","238.2",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"34.93",1,"DAVID TODD DEVRIES","MD",,23,3658,"10",
51163,"PETER","THURRELL","PO BOX 1167","CARRBORO","NC","27510","919-802-1293","06/30/1963","007-56-0836","M",,"88305","03/31/09",,"PATH","238.2",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"210.00",1,"DAVID TODD DEVRIES","MD",,23,3658,"18",
51164,"ANDRIA","GILBODY","724 PROVIDENCE GLEN DR","CHAPEL HILL","NC","27514","919-967-1565","10/06/1980","010-62-9674","F",,"CONSULT1","04/08/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3663,"310",,
51165,"ROBERT","LOFTIS JR","724 PROVIDENCE GLEN DR","CHAPEL HILL","NC","27514","919-967-1565","12/19/1979","243-31-0522","M","S","99203","03/31/09",,"O","238.2",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"198.00",1,"DAVID TODD DEVRIES","MD",,23,3658,"34",
51166,"VIJI","SATHY","8826 OCONEE COURT","CHAPEL HILL","NC","27516","919-240-4879","11/06/1974","237-19-6926","F",,"99202","03/31/09",,"O","692.9","709.09","919.4",,9,"CORESOURCE",0,,0,,0,,"133.00",1,"MAYA BILIC JONAS","M.D.",,14,3658,"37",
51167,"MILO","KIM","212 MAPLE AVE","CARRBORO","NC","27570","919-929-9670","11/28/1994",,"M",,"99212","01/04/10",,"O","706.1","709.01",,,2,"BCBS XMIT (NC)",0,,0,,0,,"78.00",7,"BETH GOLDSTEIN (KKH)",,54,3850,"500",,
51168,"EMILY","GREENE","4209 LASSITER MILL RD","RALEIGH","NC","27609","910-990-5547","12/10/1980","239-35-2169","F",,"99024","04/30/09",,"O","V58.32",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"0.00",0,"BETH G.GOLDSTEIN","M.D","UNIT 360",1,3678,"447",
51169,"WILLIAM","MCGEE","3512 MANFORD DRIVE","DURHAM","NC","27707","919-489-3773","11/05/1956","521-98-1080","M","E","11300","03/31/09",,"O","238.2",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"124.00",1,"MAYA BILIC JONAS","M.D.",,14,3658,"59",
51170,"SUSAN","SCHNEIDER","15 WHILHELM DRIVE","DURHAM","NC","27705","919-251-9292","02/20/1964",,"F",,"LIGHTSHE","03/31/09",,"O","999",,,,1,,0,,0,,0,,"250.00",0,"BETH GOLDSTEIN MD",,2,3657,"588",,
51171,"BRIANNE","STARIN","1302 HOLLY GROVE WAY","DURHAM","NC","27713","919-819-0141","02/25/1979","244-29-8787","F",,"99203","04/01/09",,"O","757.39","216.5","216.6","216.7",64,"UNITED HEALTHCARE",0,,0,,0,,"198.00",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3658,"84",
51172,"JOSH","STARIN","1302 HOLLY GROVE WAY","DURHAM","NC","27713","919-819-1866","09/20/1979","624-05-5985","M",,"99203","04/01/09",,"O","216.5","216.6","216.7",,64,"UNITED HEALTHCARE",0,,0,,0,,"198.00",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3658,"81",
51173,"ANDREW","BELL","1505 JONES FERRY ROAD","CHAPEL HILL","NC","27516","919-967-4072","12/04/1984","244-49-4235","M",,"88305","04/01/09",,"PATH","238.2",,,,38,"AETNA NEIC",0,,0,,0,,"105.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3658,"73",
51174,"SHARON","DEVINE","9308 TALLGRASS ROAD","RALEIGH","NC","27603","919-329-9993","05/06/1966","051-66-8977","F",,"99212","07/02/09",,"O","704.00",,,,64,"UNITED HEALTHCARE",0,,0,,0,,"78.00",3,"MAYA BILIC JONAS"," MD (ATC)",,43,3722,"23",
51175,"KAYLA","PEOPLES","7510 WINDMILL HARBOR WAY","RALEIGH","NC","27617","803-6249","11/29/1984","244-63-6692","F","K","88305","04/01/09",,"PATH","238.2",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"105.00",1,"JENNELLE WILLIAMS"," MD (LP)","APT. 3302",27,3658,"634",
51176,"YADIRA","SALDIVARPEREZ","316 E DOLPHIN","SILER CITY","NC","27344","200-9565","09/03/2004",,"F",,"99202","04/01/09",,"O","696.5","691.8",,,7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"60.57",1,"DAVID TODD DEVRIES","MD",,23,3658,"130",
51177,"KIMBERLY","PHILLIPS","314 SOUTH MAIN STREET","BROADWAY","NC","27505","776-7664","02/20/1964","237-29-6073","F",,"99212","01/26/10","25","O","238.2","216.5","216.6","216.7",39,"MEDCOST",0,,0,,0,,"78.00",5,"JENNELLE WILLIAMS"," MD (ATC)",,36,3867,"535",
51178,"LILLA","FAINT","56 BRIARWOOD PLACE","SANFORD","NC","27332","919-499-1921","11/24/1975","513-76-9485","F",,"99212","04/29/09","25","O","238.2",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"35.26",2,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3677,"274",
51179,"JACK","STRUM","PO BOX 467","SILER CITY","NC","27344","742-5891","03/14/1943","238-70-2038","M","C","17003","04/01/09","KX","O","702.0",,,,4,"MEDICARE XMIT (NC)",64,"UNITED HEALTHCARE",0,,0,,"19.26",1,"DAVID TODD DEVRIES","MD",,23,3658,"159",
51180,"ARLENE","GARDNER","121 EAST LUZON DRIVE","FT BRAGG","NC","28307","910-920-1373","06/06/1964","015-58-9014","F","A","99242","04/01/09",,"O","709.1",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"86.65",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3658,"573",
51181,"CAROLYN","EULER","504 COMPTON PLACE","DURHAM","NC","27707","919-419-1421","11/09/1974","223-13-6920","F",,"88305","04/22/09",,"PATH","238.2",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"105.00",3,"JENNELLE WILLIAMS"," MD (ATC)",,36,3672,"421",
51182,"MABELYN","MELGAR","301 S 7TH AVE","SILER CITY","NC","27344","548-8394","09/10/1988",,"F",,"99211","06/30/09",,"O","705.21","448.9","701.3",,100,,0,,0,,0,,"31.00",0,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3720,"651",
51183,"DOUGLAS","CROSBY","366 STAGE COACH RD","SILER CITY","NC","27344","837-2327","03/30/1957","234-94-7162","M","G","99212","05/28/09","25","O","702.0",,,,7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"35.26",3,"MAYA BILIC JONAS","M.D.",,14,3697,"11",
51184,"HEATHER","HOLLICK","1818 MARTIN LUTHER KING","CHAPEL HILL","NC","27514","919-323-4921","07/28/1960","527-29-2128","F",,"99202","04/01/09",,"O","695.89",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"133.00",1,"BETH G. GOLDSTEIN"," MD (ATC)","JR. BLVD #313",35,3658,"265",
51185,"SKYLAR","JOHNSON","3212 OLIVE GROVE CHURCH","CREEDMOOR","NC","27522","919-691-0530","07/11/2007","681-14-3590","F","U","99202","04/01/09",,"O","692.9",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3658,"263",
51186,"SHERYL","WARREN","432 E GRANDVIEW AVE","LIBERTY","NC","27298","336-510-5864","04/14/1957","241-02-4559","F",,"99202","04/01/09",,"O","216.3","216.5",,,99,"SECURE HORIZONS",0,,0,,0,,"60.57",1,"DAVID TODD DEVRIES","MD",,23,3658,"145",
51187,"SANDRA","CIRINO","1100 BELFORD CLOUSE","SILER CITY","NC","27344","742-4724","09/29/1960",,"F","P","99202","04/01/09",,"O","695.3","237.70",,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"DAVID TODD DEVRIES","MD",,23,3658,"163",
51188,"PAMELA","FITZPATRICK","1 POINT PROSPECT PLACE","CHAPEL HILL","NC","27514","919-967-1249","05/05/1955",,"F","S","17003","04/01/09",,"O","702.0",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"31.50",1,"JENNELLE WILLIAMS","M.D.",,3,3658,"295",
51189,"ALLISON","TUCKER","108 REDFIELD PLACE","GOLDSBORO","NC","27530","919-288-2613","04/05/1976","532-78-3375","F",,"99212","05/28/09",,"O","078.10",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"35.26",2,"DAVID TODD DEVRIES","MD",,23,3697,"87",
51190,"CLAUDISHA","SANDERS","421 EAST CEDAR AVENUE","WAKE FOREST","NC","27587","919-562-0783","08/08/1989","237-65-1133","F",,"99242","04/01/09",,"O","706.1","692.4",,,7,"MEDICAID CAROLINA ACCESS",0,,0,,0,,"86.65",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3658,"312",
51191,"JEAN","PRYOR","5 JORDAN DRIVE","PITTSBORO","NC","27312","919-542-2829","11/20/1946","230-64-7457","F","B","TAX","06/15/09",,"O","999",,,,1,,0,,0,,0,,"2.03",0,"BETH G. GOLDSTEIN"," M.D.",,9,3709,"80",
51192,"ANNA","STOUDEMIRE","329 BROOKBERRY CIR","CHAPEL HILL","NC","27517","805-423-5398","05/22/1981","254-47-3083","F","L","TAX","04/01/09",,"O","999",,,,1,,0,,0,,0,,"1.96",0,"BETH G. GOLDSTEIN"," M.D.",,9,3658,"356",
51193,"JAMES","GOODMAN","318 ROMINE PIKE ROAD","SILER CITY","NC","27344","919-545-1126","10/14/1948","245-78-6270","M","G","88305","04/17/09",,"PATH","173.5",,,,39,"MEDCOST",0,,0,,0,,"105.00",3,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3669,"1245",
51194,"ANDREW","WOMBLE","812 THOMPSON ST","PITTSBORO","NC","27312","919-542-4083","11/17/1978","237-47-3164","M","S","99000","04/01/09",,"O","706.1",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"20.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3658,"549",
51195,"PAMELA","PETCH","2717 SUMMERWIND","CHAPEL HILL","NC","27516","919-932-6074","11/14/1952","242-92-9255","F",,"88305","04/02/09",,"PATH","238.2",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"105.00",1,"JENNELLE WILLIAMS"," MD (ATC)",,36,3658,"701",
51196,"BARRY","STRONG","365 HOLLY GLEN ROAD","PITTSBORO","NC","27312","919-545-0162","10/07/1959","239-13-9537","M","L","17003","04/02/09",,"O","702.0",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"126.00",1,"JENNELLE WILLIAMS","M.D.",,3,3658,"794",
51197,"WILLIAM","CRABTREE","2103 EFLAND-CEDAR GROVE","EFLAND","NC","27243","919-732-3328","02/13/1980","241-53-3190","M","K","99202","04/02/09",,"O","238.2","690.10",,,64,"UNITED HEALTHCARE",0,,0,,0,,"133.00",1,"DAVID TODD DEVRIES","MD","ROAD",23,3659,"198",
51198,"CARA","LOCKSEM","220 KRONOS LANE","CARY","NC","27513","919-535-8970","03/24/1974","094-66-9601","F",,"BOTOX","04/02/09",,"O","999",,,,1,,0,,0,,0,,"136.00",0,"SARAH SIDIQI"," FNP (COSMETIC)",,47,3659,"231",
51199,"TAYLOR","THOMPSON","PO BOX 1254","MEBANE","NC","27302","919-923-5606","08/12/1994",,"F","G","99213","01/29/10",,"O","706.1",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"108.50",4,"DAVID TODD DEVRIES","MD",,23,3869,"464",
51201,"MICHELE","COSGROVE","604 SILVERBERRY","PITTSBORO","NC","27312","919-599-1092","08/08/1977","260-29-1574","F",,"99024","04/23/09",,"O","V58.32",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"0.00",0,"ANNE T CASPERSON","PAC",,34,3673,"552",
51200,"TUCKER","WRIGHT","107 HOGAN GLEN CT","CHAPEL HILL","NC","27516","919-967-0276","01/05/2000","238-93-8033","M",,"99202","04/02/09","25","O","078.0","216.7",,,2,"BCBS XMIT (NC)",0,,0,,0,,"133.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3659,"501",
51202,"TAYLORANNE","KRAEMER","700 BALD EAGLE DRIVE","VASS","NC","28394","910-245-4446","11/03/1995","131-84-3278","F",,"99212","04/22/09","25","O","238.2",,,,36,"TRICARE MID-ATLANTIC",9,"ASI",0,,0,,"35.26",2,"DAVID TODD DEVRIES","MD",,23,3672,"392",
51203,"ELIZABETH","HAFNER","3519 IRELAND DR","HOPE MILLS","NC","28348","910-426-1058","11/19/1968","241-45-0263","F","L","11442","04/16/09",,"O","238.2",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"153.49",2,"BETH G.GOLDSTEIN","M.D",,1,3668,"420",
51204,"NICOLA","KEAN","1137 PINEHURST DRIVE","CHAPEL HILL","NC","27517","919-537-8504","04/13/1972","557-51-9585","F",,"99203","04/02/09",,"O","216.3","216.5","216.6","216.7",2,"BCBS XMIT (NC)",0,,0,,0,,"198.00",1,"JENNELLE WILLIAMS","M.D.",,3,3659,"96",
51205,"REBECCA","LEE","714 COSGROVE AVE","CHAPEL HILL","NC","27514","252-671-7716","04/02/1985","228-51-1413","F","D","99213","08/10/09",,"O","706.1","216.7",,,2,"BCBS XMIT (NC)",0,,0,,0,,"108.50",2,"JENNELLE WILLIAMS"," MD (ATC)",,36,3749,"198",
51206,"SARAH","NORTON","112 ELLSWORTH PLACE","CARY","NC","27511","919-607-6820","05/06/1983","215-04-7517","F",,"99212","01/04/10",,"O","706.1",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"78.00",2,"BETH GOLDSTEIN (KKH)",,54,3856,"683",,
51207,"REBEKAH","BUEHRLE","16 BRIARFIELD COURT","DURHAM","NC","27713","919-419-6383","01/29/1975","395-78-6988","F",,"99201","04/02/09",,"O","238.2",,,,2,"BCBS XMIT (NC)",7,"MEDICAID CAROLINA ACCESS",0,,0,,"80.00",1,"DAVID TODD DEVRIES","MD",,23,3659,"112",
51208,"KATHRYNE","MORALES","300 ATKINSON STREET","FT BRAGG","NC","28307","910-322-8129","02/24/1978","246-57-2373","F",,"99242","04/02/09",,"O","216.4","216.7",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"86.65",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3659,"98",
51209,"NICHOLE","RUSH","209 SWEET BRIAR COURT","CLAYTON","NC","27527","919-550-9221","01/29/1972","245-47-2706","F",,"99212","05/18/09",,"O","706.9","709.09",,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"78.00",2,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3690,"391",
51210,"JUDY","GUIDRY","5713 PROSPECTOR COURT","HOPE MILLS","NC","28348","910-864-7972","02/07/1975","296-60-2782","F","A","99242","04/02/09",,"O","706.1",,,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"86.65",1,"JENNELLE WILLIAMS","M.D.",,3,3659,"144",
51211,"LOIS","PRADKA","3417 ANGUS ROAD","DURHAM","NC","27705","919-489-4771","03/03/1952","005-54-6689","F",,"11100","04/07/09",,"O","238.2",,,,74,"PRIMAHEALTH IPA",0,,0,,0,,"181.50",2,"JENNELLE WILLIAMS","M.D.",,3,3662,"301",
51212,"FRANCESCA","CHERY","624 PATRIOTS POINTE DR","HILLSBOROUGH","NC","27278","919-732-2527","06/06/1976","128-76-2984","F","C","99202","04/02/09",,"O","706.1",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"133.00",1,"DAVID TODD DEVRIES","MD",,23,3659,"152",
51213,"PAMELA","FEUQUAY","977 PINEVILLE PRINCETON","PIKEVILLE","NC","27863","919-242-5944","02/26/1975","454-31-9444","F","J","99213","04/09/09",,"O","706.1","216.7",,,36,"TRICARE MID-ATLANTIC",0,,0,,0,,"58.89",2,"DAVID TODD DEVRIES","MD","RD",23,3664,"839",
51214,"SARAH","SHEUER","5114 COPPER RIDGE DRIVE","DURHAM","NC","27707","336-207-4413","10/06/1984","238-55-1101","F","L","99201","04/02/09",,"O","692.4",,,,100,,0,,0,,0,,"53.00",0,"JENNELLE WILLIAMS"," MD (LP)","APT. 204",27,3664,"865",
51215,"KAREN","DEHART","102 OLD LARK SPUR WAY","CHAPEL HILL","NC","27516","919-929-6661","02/26/1968","540-76-6723","F","M","99213","12/18/09",,"O","706.1",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"108.50",3,"DAVID TODD DEVRIES","MD",,23,3842,"208",
51217,"BESSIE","TURNER","224 HARDEN ST","BURLINGTON","NC","27215","544-5483","06/25/1938","231-46-8870","F",,"17003","04/30/09","KX","O","702.0",,,,4,"MEDICARE XMIT (NC)",2,"BCBS XMIT (NC)",0,,0,,"32.10",2,"JENNELLE WILLIAMS","M.D.",,3,3678,"810",
51216,"LUCIA","DIBIASE","6 LAKEMIST CIRCLE","DURHAM","NC","27713","917-863-6743","06/28/1977","044-72-4488","F","M","CONSULT1","09/04/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"BETH GOLDSTEIN MD",,2,3768,"507",,
51218,"MAUDINE","NELSON","2901 GRETMAR DRIVE","DURHAM","NC","27705","919-489-6940","09/14/1954","577-72-9093","F","J","99213","04/16/09",,"O","704.00",,,,26,"CIGNA - NEIC XMIT",0,,0,,0,,"108.50",3,"JENNELLE WILLIAMS","M.D.",,3,3668,"985",
51219,"SUSAN","PORTER-ATKINSON","3425 OLD GRAHAM ROAD","PITTSBORO","NC","27312","919-542-7131","06/08/1966","234-13-4045","F","C","99202","04/02/09",,"O","238.2","216.5",,,64,"UNITED HEALTHCARE",0,,0,,0,,"133.00",1,"DAVID TODD DEVRIES","MD",,23,3659,"65",
51221,"EMILY","BROWN-EUDY","2458 MITCHELL ROAD","ANGIER","NC","27501","919-331-8092","03/11/2004",,"F",,"87220","04/02/09",,"O","110.5",,,,9,"GUARDIAN",0,,0,,0,,"14.00",1,"JENNELLE WILLIAMS"," MD (LP)",,27,3659,"60",
51220,"LAN TING","CHENG","3620 HENNINGSON WAY","DURHAM","NC","27705","646-472-4239","11/19/1985","272-08-6131","F",,"99212","04/21/09",,"O","706.1","692.9",,,2,"BCBS XMIT (NC)",0,,0,,0,,"78.00",2,"BETH G. GOLDSTEIN"," MD (LP)",,26,3671,"451",
51222,"LIANG","LI","180 BPW CLUB RD"," B9","CARRBORO","NC","27510","919-259-8081","11/12/1954","246-81-3321","M",,"99202","04/02/09",,"O","132.2",,,,69,"WELLPATH/SOUTHCARE PPO",0,,0,,0,,"133.00",1,"DAVID TODD DEVRIES","MD",,23,3661,"253"
51223,"PHIL","BROOKS","510 OAKWOOD DR","PITTSBORO","NC","27312","919-542-4039","04/08/1963","238-25-3304","M","L","99024","06/01/09",,"O","V58.32",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"0.00",0,"DAVID TODD DEVRIES","MD",,23,3700,"957",
51224,"KATE","SALYERS-JOBE","117 TRAPPERS RUN DRIVE","CARY","NC","27513","919-412-4093","08/24/1984","620-14-6735","F","L","99213","12/07/09",,"O","696.1","706.1",,,2,"BCBS XMIT (NC)",0,,0,,0,,"108.50",3,"JENNELLE WILLIAMS","M.D.",,3,3834,"110",
51226,"SAMUEL","OWENS","6747 MAYNARD FARM ROAD","CHAPEL HILL","NC","27516","919-968-9650","07/27/1993",,"M","M","99202","04/02/09",,"O","706.1","757.39",,,74,"PRIMAHEALTH IPA",0,,0,,0,,"133.00",1,"DAVID TODD DEVRIES","MD",,23,3659,"445",
51225,"APRIL","PARKER","3013 STONE FENCE CT","DURHAM","NC","27704","919-682-0289","08/27/1971","213-90-3808","F",,"88305","04/02/09",,"PATH","238.2",,,,2,"BCBS XMIT (NC)",0,,0,,0,,"210.00",1,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3659,"441",
51227,"FAUSTINA","BAXTER-MEHEUX","4124 COBBLESTONE PLACE","DURHAM","NC","27707","919-489-0430","09/23/1954",,"F",,"MISC","12/18/09",,"O","999",,,,1,,0,,0,,0,,"105.00",0,"BETH GOLDSTEIN MD",,2,3843,"448",,
51228,"ALICE","HARMAN","182 PISCES DRIVE","SANTA ROSA BCH","FL","32459","850-217-0533","05/22/1974","434-33-1556","F","E","99024","04/02/09",,"O","999",,,,1,,0,,0,,0,,"0.00",0,"LAURA Z. PHILLIPS","PAC",,25,3659,"298",
51229,"SHERLENE","HANKINS","5701 CALTON DR","RALEIGH","NC","27612","782-3971","03/09/1971","240-11-7102","F","L","99000","07/30/09",,"O","682.8",,,,24,"BCBS/STATE HEALTH PLAN",0,,0,,0,,"25.00",2,"BETH G. GOLDSTEIN"," MD (ATC)",,35,3742,"674",

 

[Sertaki]

Отписался в ЛС

 

[DeusEx]

небольшое обновление))
402040004;teresa moore;USA;4501 camellia dr;MYRTLE BEACH;SC;29577;8432514856;1960-07-29;[email protected]
491648180;BOBBIE HOLMES;USA;5861 CABANNE AVE;SAINT LOUIS;MO;63112;(314) 588-;1957-10-27;[email protected]
466592026;LAFOSCIA MAXIE;USA;905 CYPRESS STATION DR K2;Houston;TX;77090;2814405364;1978-12-14;[email protected]
355749976;duane hymes;USA;865 radecke rd;krum;TX;76249;9404829720;1971-03-21;[email protected]
329807979;LeighAnne Thompson;USA;2228MarketStreet;Peru;IL;61354;8152201631;1975-04-24;[email protected]
554746541;LANA SIMMONS;USA;24841 FIR AVE 4;Moreno Valley;CA;92553;9512470354;1948-12-27;[email protected]
294843903;Leah Davidson;USA;228 Country Trace Dr;Harrison;OH;45030;5133100606;1978-01-18;[email protected]
417760176;Sally Cook;USA;1211 Tunlaw Road;Huntsville;AL;35801;2564795824;1953-08-03;[email protected]
439210694;brenda jackson;USA;100 ARKANSAS;newellton;LA;71357;3184670045;1959-08-23;[email protected]
589012492;STEVIE DANIELS;USA;4301 EAST RANCIER AVE.;Harker Heights;TX;76543;8508497202;1972-02-03;[email protected]
244313782;Sherry Poole;USA;5915 south brenwood dr;Katy;TX;77449;2818610507;1966-02-25;[email protected]
311782883;Teresa Thomas;USA;1223 seymour ave;Columbus;OH;43206;6142649260;1961-08-07;[email protected]
350424126;CAROLYN J FREDERICK;USA;1007 SHENANDOAH;EFFINGHAM;IL;62401;2173479470;1947-01-24;[email protected]
412063885;KIMBERLY L KINDLER;USA;1110 WOODALL CR;HUNTSVILLE;AL;35816;2568959927;1964-09-23;[email protected]
314766852;REGINALD HENDERSON;USA;4319 E. 30TH;Indianapolis;IN;46218;3175462683;1969-12-04;[email protected]
498802740;vernon MARCHBANKS;USA;6707 E 66 ST;KANSAS CITY;MO;64133;8163566371;1978-09-25;[email protected]
416391730;CHARLES HENDERSON;USA;6128 SPERRY RD;Theodore;AL;36582;2516535560;1983-06-09;[email protected]
467424920;margaret botello;USA;2535 smokey creek;schertz;TX;78154;2109459246;1970-01-01;[email protected]
361520623;Kathryn Dinwiddie;USA;120 Glenwood Dr;Swansea;IL;62226;6184161490;1954-08-31;[email protected]
439944278;Adrian Thompson Jr;USA;38533 Arrowhead Dr;Gonzales;LA;70737;2256147487;1986-08-10;[email protected]
449459087;micheal hunter;USA;2001 PIPERSFIELD DR#B;austin;TX;78758;5123390326;1977-06-24;[email protected]
459859475;Jennifer Cleric;USA;13396 Lake Breeze Ln;Willis;TX;77318;9368568454;1975-01-09;[email protected]
156588177;Stephanie Austin;USA;175 JOHNSON AVE;Lawrenceville;NJ;8618;6098470745;1972-01-15;[email protected]