ProviderBusinessMailingAddressFaxNumber = '4107667602'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1033166202
FEDIS
DOROTHY
P
PO BOX 8160
PHILADELPHIA
PA
191018160
1588611727
STENGEL
KAREN PATEL
K
PO BOX 8160
PHILADELPHIA
PA
191018160
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