ProviderBusinessMailingAddressFaxNumber = '3373101143'
NPILastNameFirstNameMidNameOrganizationMailing AddressCityStateZip
1003141342COLEMANSHADONNADANIELLE 1702 OAK PARK BLVDLAKE CHARLESLA706018912
1932512191DOUCETANDREW  1702 OAK PARK BLVDLAKE CHARLESLA706018912
1023138849SHORTRONALDMICHAEL 630 W PRIEN LAKE RDLAKE CHARLESLA706010700

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