ProviderBusinessMailingAddressFaxNumber = '2604236621'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1285258053 | ALIBEGOVIC | KENAN | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1568088557 | ALLEN | KARLA | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1548837255 | BASTIN | GARRETT | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1730810763 | BRADING | WILLIAM | ELY | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1578131306 | BRINSON | SAMUEL | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1023749264 | CALL | MONICA | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1811564628 | CHASE | CARTER | WILLIAM | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1669833059 | DIXIE | CHERISE | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1730748161 | FLAIG-MILLER | STEPHANIE | MARGE | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1598381295 | FULKERSON | LAURA | MARIE | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1538784566 | GRANDISON | AMBER | DENISE | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1619600244 | GRYBOW | KRISTOFFER | ROBYN | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1013533926 | JACKSON | COURTNEY | MARIE | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1669767661 | JEFFERSON | ERIN | KAY | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1033568316 | KHATRI | AHMAD | | | 750 BROADWAY STE 150 | FORT WAYNE | IN | 468021412 |
| 1609887942 | KHURRUM | FATIMA | | | 2434 LAKE AVE | FORT WAYNE | IN | 468055406 |
| 1235622580 | KRACH | EMILY | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1528627973 | KRACH | PATRICK | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1881109296 | LADOWSKI | JOANNE | E | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1891289344 | MADIGAN | ALEXANDRA | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1386375525 | MATHEWS | JORDAN | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1821729005 | MYERS | LEVI | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1144555855 | NEUMAN | PAULA | A. | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1326496613 | OLUSANYA | OLUDAYO | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1346865516 | PANTING | NICHOLAS | DANIEL | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1982228755 | PARIS | STEVEN | MICHAEL | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1699342329 | PATTON | LEAH | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1588231302 | PAUL | MORGAN | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1265174973 | RANDOL | COLETTE | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1902420789 | ROBERTS | CARSON | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1114456993 | SCHELB | KIMBERLY | J | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1912918756 | SHIN | HAHNS | L | | 2434 LAKE AVE | FORT WAYNE | IN | 468055406 |
| 1417571209 | SNYDER | COREY | AARON | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1215551007 | SNYDER | MARIA | MANUELA | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1558939629 | SUSANTO | MELVIN | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1114595394 | VEERULA | VIJAY | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1306577556 | VORNDRAN | ALLISON | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1598382293 | WAHAB | LUNA | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1013531805 | WARDEN | SAMANTHA | DAWN | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1184291817 | WILLIAMS | LOYAL | DEAN | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1538890710 | YORK | BRIAN | | | 750 BROADWAY STE 350 | FORT WAYNE | IN | 468021412 |
| 1902817893 | ZA | MILAN | | | 750 BROADWAY | FORT WAYNE | IN | 468021412 |
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