| provider_suspended_and_ineligible_list_s_i_list |
|
last_name - varchar(52)
first_name - varchar(15)
middle_name - varchar(23)
a_k_a_also_known_as_d_b_a_doing_business_as - varchar(316)
addresses - varchar(402)
provider_type - varchar(102)
license_number - varchar(55)
provider_number - varchar(750)
date_of_suspension - varchar(18)
active_period - varchar(22)
|