ProviderBusinessMailingAddressFaxNumber = '4173541505'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1679510358	AZELTON	RONDA	D.		3800 S. NATIONAL AVE	SPRINGFIELD	MO	658075209
1427212083	LUCORE	ELIZABETH	ELAINE STOVER		3800 S NATIONAL AVE	SPRINGFIELD	MO	658075209

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