ProviderBusinessMailingAddressFaxNumber = '6065984509'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1992203004	HERRON	DERRICK	CLINTON		210 MARIE LANGDON DR	MANCHESTER	KY	409626388
1720586837	LEDFORD	MICHAEL	SHAWN		210 MARIE LANGDON DR	MANCHESTER	KY	409626388

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