ProviderBusinessMailingAddressFaxNumber = '4143275511'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1356763700	LEUPOLD	NATHAN	W		7517 W COLDSPRING RD	GREENFIELD	WI	532202814
1083055883	POOLE	MICHELLE			7517 W COLDSPRING RD	GREENFIELD	WI	532202814

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