ProviderBusinessMailingAddressFaxNumber = '2604812717'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053594663 | | | | PARK CENTER, INC. | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1598943722 | ADAMS | JUDY | A | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1609437425 | ALBERTSON | SHERRI | SUE | | 909 E STATE BLVD | FORT WAYNE | IN | 468053458 |
| 1225214844 | ARMSTRONG | PATRICIA | E | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1528244142 | BECHTOLD | CHARLEEN | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1033391578 | BOWER | TERESA | M | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1053328260 | BURNS | MARJORIE | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1417018995 | CARPENTER | LISA | A | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1871776104 | CAUDILL | AMY | S | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1922169416 | CHRISTOFFERSEN | CORI | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1043283641 | COOK | JASON | T. | | 7230 ENGLE RD | FORT WAYNE | IN | 468042209 |
| 1023296712 | DESPENZA | ANGELA | C | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1275681017 | DIDION | SUSAN | E | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1104009661 | DINI | AMY | S | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1932387545 | DIXIE | RACHELE | A | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1013950088 | EIDEN | TONYA | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1952378895 | ELLSWORTH | VIANN | G | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1497814727 | FERGUSON | HELEN | CLAIRE | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1821043555 | FLESCH | BRIAN | K | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1437339298 | GRUBB | BRIAN | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1275715906 | HALBACH | KATHLEEN | A | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1821291196 | HARMAN | NANCY | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1699707836 | HARTLEY | LINDA | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1134146087 | HASTINGS | ARTHUR | B | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1699958462 | HAUK | CHRISTINE | S | | 909 E. STATE BLVD. | FORT WAYNE | IN | 468053404 |
| 1396735064 | HERNANDEZ | VIVIAN | O. | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1962632745 | HILL | AQUILLIA | DIONNA | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1124087036 | HITE | RICHARD | L. | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1548440399 | HOPKINS | SUSAN | K | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1104002773 | INGOL | ROBERTA | D | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1871513549 | JONES | MICHELE | D | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1386812584 | KACINES | JULIETTE | R | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1154358406 | KENNA | EDITH | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1124019005 | LAMBERTSON | LARRY | H. | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1588958912 | LITTLE | LISA | R | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1568691525 | LONG | LESLIE | F | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1699823492 | LOTHAMER | KAREN | S | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1164583621 | MARSHALL | KATHRYN | K | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1578743316 | MATHER-GRIMES | CATHERINE | A. | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1093912552 | MCCLURG | DEE | W | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1902965213 | MENKE | LINDA | K | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1477579134 | MEYAN | NEERJA | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1467620179 | MILLER | SALLY | R | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1346428828 | MIREE | SHONDRA | D | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1821011628 | MOORE | VIRGINIA | M | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1952462467 | MOREL | BARBARA | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1396718573 | MUMTAZ | SYED | R. | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1366469223 | RENNO | KEVIN | D | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1447225479 | REZVANI | HOUSHMAND | | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1194886697 | ROTH | THERESA | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1174706691 | RUMPLE | VALERIE | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1881872364 | SAMANT | PRACHEE | P | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1104858364 | SANDERS | BRENDA | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1013190578 | SAYLOR | TINA | M | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1558547000 | SCHERER | KAREN | A | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1417016767 | SCHNEIDER | BARBARA | L | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1356365142 | STACHERA | JEFF | S | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1801820915 | STACHLER | BRENT | A | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1235149709 | SWINEHART | JOHN | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1790963452 | TAYLOR | DEBORAH | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1093880833 | TREACE | CHRIS | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1912978909 | VARMA | VIJOY | K. | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1275565426 | WARNER | NANCY | D | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1568648111 | WEAVER | LETISIA | J | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1801844659 | WHITEHEAD | RUSSELL | ROY | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1225072705 | WILSON | PAUL | D | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
| 1467491308 | WOODYARD | JUDITH | A | | 909 E STATE BLVD | FORT WAYNE | IN | 468053404 |
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