ProviderBusinessMailingAddressFaxNumber = '2144439640'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1013983774	PHILLIPS	JOSEPH	THEODORE		6301 GASTON AVE	DALLAS	TX	752143922
1629302542	RACZ	SUZANNE	ELAINE		6301 GASTON AVE	DALLAS	TX	752143922

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