ProviderBusinessMailingAddressFaxNumber = '4197280113'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1124696950	BURKE	DANIEL			1069 KLOTZ RD STE A	BOWLING GREEN	OH	434024832
1770543019	MARTIN	NANCY	J		1069 KLOTZ RD STE A	BOWLING GREEN	OH	434024832

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