ProviderBusinessMailingAddressFaxNumber = '2039260413'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1174711188				JOHN FARENS MD PC	224 LEAVENWORTH RD	SHELTON	CT	064841809
1427133354	FARENS	JOHN			224 LEAVENWORTH RD	SHELTON	CT	064841809

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