ProviderBusinessMailingAddressFaxNumber = '2604812709'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1366719171 | | | | PARK CENTER, INC. | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1457772402 | | | | PARK CENTER INC | 909 E STATE BLVD | FORT WAYNE | IN | 46805 |
| 1740415595 | BANKS | REGAN | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1639555923 | BATES | MICHAEL | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1710132634 | BATTELL | KRISTA | N | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1669717708 | BAUER | JARRED | WILLIAM | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1598181364 | BAYER | EMILY | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1346649381 | BENNETT | MELISSA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1447625074 | BOATWRIGHT | BONNIE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1558441717 | BRODERICK | JINNY | RENEE | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1275870743 | BROWN | DAVID | MATTHEW | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1194974931 | BURNETT | BARBARA | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1104219922 | BURNETT | JASON | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1548415680 | BUTCHER | KIMBERLY | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1720459373 | CALLIGAN | MICHAEL | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1649423344 | CARLSON | TABITHA | A | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1265714828 | CHAFFEE | COURTNEY | ELIZABETH | | 10716 WILD RIDGE PL | FORT WAYNE | IN | 468188801 |
| 1912313933 | CLEVENGER | HOLLY | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1316196140 | COFFEE | KIM | S | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1194116905 | CONLEY | AIMEE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1730557638 | CRAGO | CHELSEA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1700018611 | CRESS | LUCINDA | M | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1417343914 | CROUSE | NADINE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1124496567 | CUPP | AMY | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1821490210 | DRESSLER | COURTNEY | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1356715346 | DUGAN | DEBBIE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1275774408 | DYER | ALICE | K | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1700279445 | EASH | MARY BETH | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1134528037 | ELAM | BRENDA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1578951646 | ELZEY | SUSAN | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1568744480 | ENYEART | DEBORAH | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1043625676 | EVANS | BRANDON | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1770903817 | FERGUSON | KATHLEEN | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1023424058 | FIGUEROA | MEGAN | I | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1649635343 | FILLMORE | JANE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1316298425 | FLOOD | STACIE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1417322058 | FORD | JENNIFER | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1427368745 | FOX | CANDACE | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1578928222 | FREEMAN | MELISSA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1053725085 | GAVIN | MELODIE | A | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1558760462 | GEFFEN | JUDITH | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1053721753 | GENTIL | TAMI | ANN | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1700205259 | GICHUNGEH | IRENE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1235490681 | GODSEY | JULE | L. | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1568617488 | GRAY | WARREN | C | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1952557340 | HILL | DANNETTE | D | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1649423781 | HOFF | DENISE | K | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1730568395 | HOWARD | GILDA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1225407117 | HUBBLE | MICHELLE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1881020501 | JACKSON | SHERYL | D | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1154654911 | JACKSON | TOSHA | N | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1255564522 | JOHNSON | BRIAN | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1356755375 | JOHNSON | HEATHER | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1184952475 | KAUFMAN | ERICKA | A | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1831573104 | KEENAN | ELIZABETH | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1992091797 | KELLER | LEAH | D | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1255758215 | KELLY | CRYSTAL | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1508285057 | KLEIN | RACHEL | LYNN | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1801251236 | KNISPEL | MARLENE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1982979035 | KNUTSON | JEFFREY | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1477950491 | KOLB | DEBORAH | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1114304367 | KORTI | HANNAH | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1831590272 | LANEY | SUSAN | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1144625781 | LAPSLEY | JENNIFER | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1770965410 | LAPSLEY-MARTIN | LASHONDA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1841449675 | LUGINBILL | TAMARA | K | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1376829218 | MASTBAUM | MARNI | F | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1538452990 | MCCARY | SHAWNTAE | B | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1326448457 | MESCALL | WILLIAM | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1326314436 | NORTON | RITA | L. | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1538410428 | NOWLIN | SANDRA | D | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1871986026 | O'SULLIVAN | TIMOTHY | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1982018446 | OKULY | JODY | E | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1780095059 | OLADINI | YETUNDE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1326417296 | PARKER | KELLI | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1336547736 | PARKS | MICHELLE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1891112546 | PARRIS | TINA | MARIE | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1356455018 | PATEL | JAY | D | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1003236613 | PERRY | JENNIFER | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1609252105 | PETERS | MARGARET | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1346501921 | PETERSON | DANIELLE | M | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1386900462 | PICKARD III | ROBERT | B | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1659603413 | PULVER | MELISSA | G | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1750727731 | RAY | DARRIEN | S | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1417374588 | REGENOLD | MICHELE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1043596042 | RHYMER | SARAH | I | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1861824393 | RICE | DIANE | K | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1548683188 | ROBERTS | RACHEL | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1184911158 | ROBERTS | TERESA | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1942698048 | ROBINSON | BETH | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1700250792 | ROSS | STACY | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1467704023 | ROSS-ESPINOSA | MEGAN | C | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1396114088 | SAMMONS | LESLEY | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1558767327 | SCOTT | GEORGE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1487069027 | SHANK | REBECCA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1588986665 | SHAWLER | BETTIE | ANN | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1346640463 | SHIVELY | MONICA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1720497548 | SMITH | KATLYN | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1154578045 | STARKS | WILLA | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1619345337 | STONER | MAXINE | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1700130267 | SULLIVAN | MARALISSA | A | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1811394737 | SWINEHART | MARY | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1154686376 | TONKEL | LINDA | M. | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1881079010 | TOTH | LISA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1154703882 | VANPATTEN | JENNIFER | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1629433313 | VANSCODER | NANCY | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1477835049 | WADE | SYLVIA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1306263389 | WASHINGTON | PAULINA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1013281245 | WINN | JULIE | NAY | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1962829952 | YOST | PEGGY | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
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