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Data Breach Notifications
Entity Information
- Type of Organization: Healthcare
- Entity Name: Ava Elaine Harrell
- Street Address: 508 Eagle Bend Road
- City: Clinton
- State, or Country if outside the US: Tennessee
- Zip Code: 37716
Submitted By
- Name: Michael & Brandi Harrell
- Title: Father & Mother
- Firm name (if different than entity):
- Telephone Number: 8652089922
- Email Address: MichaelHarrell1586@gmail.com
- Relationship to entity whose information was compromised: Father
Breach Information
- Total number of persons affected (including residents): 1
- Total number of Maine residents affected: 3
- If the number of Maine residents exceeds 1,000, have the consumer reporting agencies been notified: Yes
- Date(s) Breach Occured: 06/06/22
- Date Breach Discovered: 04/19/22
- Description of the Breach:
- Inadvertent disclosure, External system breach (hacking), Insider wrongdoing, Internal system breach, Loss or theft of device or media (computer, laptop, external hard drive, thumb drive, CD, tape, etc.)
- Information Acquired - Name or other personal identifier in combination with: Financial Account Number or Credit/Debit Card Number (in combination with security code, access code, password or PIN for the account)
Notification and Protection Services
- Type of Notification: Telephone
- Date(s) of consumer notification: 4/19/22
- Copy of notice to affected Maine residents:
- Date of any previous (within 12 months) breach notifications: 04/19/22
- Were identity theft protection services offered: No
- If yes, please provide the duration, the provider of the service and a brief description of the service: