ProviderBusinessMailingAddressFaxNumber = '3106647913'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1053660720				VENICE FAMILY CLINIC	604 ROSE AVE	VENICE	CA	902912767
1588098594	SCARLETT	LIGAYA	DOCENA		604 ROSE AVE	VENICE	CA	902912767

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