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Member | Member ID | Admission ID | Date of Birth | Status | Provider | Start of Care | Member Team | Service Coordinator |
---|---|---|---|---|---|---|---|---|
Thomas Jefferson DoB: 04/17/1743 |
1234567 | 87654321 | 04/17/1743 | Active |
Northeast Home Services TIN: 1234567 |
01/01/2020 | - | - |
Thomas Jefferson DoB: 04/17/1743 |
1234567 | 87654321 | 04/17/1743 | Active |
Northeast Home Services TIN: 1234567 |
01/01/2020 | - | - |
Thomas Jefferson DoB: 04/17/1743 |
1234567 | 87654321 | 04/17/1743 | Active |
Northeast Home Services TIN: 1234567 |
01/01/2020 | - | - |
Thomas Jefferson DoB: 04/17/1743 |
1234567 | 87654321 | 04/17/1743 | Active |
Northeast Home Services TIN: 1234567 |
01/01/2020 | - | - |
Thomas Jefferson DoB: 04/17/1743 |
1234567 | 87654321 | 04/17/1743 | Active |
Northeast Home Services TIN: 1234567 |
01/01/2020 | - | - |
Thomas Jefferson DoB: 04/17/1743 |
1234567 | 87654321 | 04/17/1743 | Active |
Northeast Home Services TIN: 1234567 |
01/01/2020 | - | - |
Thomas Jefferson DoB: 04/17/1743 |
1234567 | 87654321 | 04/17/1743 | Active |
Northeast Home Services TIN: 1234567 |
01/01/2020 | - | - |
Thomas Jefferson DoB: 04/17/1743 |
1234567 | 87654321 | 04/17/1743 | Active |
Northeast Home Services TIN: 1234567 |
01/01/2020 | - | - |
Thomas Jefferson DoB: 04/17/1743 |
1234567 | 87654321 | 04/17/1743 | Active |
Northeast Home Services TIN: 1234567 |
01/01/2020 | - | - |
Thomas Jefferson DoB: 04/17/1743 |
1234567 | 87654321 | 04/17/1743 | Active |
Northeast Home Services TIN: 1234567 |
01/01/2020 | - | - |
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