NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1306578786	FUNKHOUSER	TIARA	LEI		705 WELLS RD STE 300	ORANGE PARK	FL	320732982
1811231061	MCFAULS	SHANNON	KELLY		705 WELLS RD STE 300	ORANGE PARK	FL	320732982

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