ProviderBusinessMailingAddressFaxNumber = '4795733102'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033862883 | BENAVIDES | KELSIE | RAE | | 7001 ROGERS AVE STE 600 | FORT SMITH | AR | 729034073 |
| 1598308140 | CHARLES | ELIZABETH | ANN | | 7001 ROGERS AVE FL 6 | FORT SMITH | AR | 729034073 |
| 1417264250 | FERRARI | JONATHAN | P | | 2713 S 74TH ST STE 401 | FORT SMITH | AR | 729035173 |
| 1659790210 | HEARD | KARLA | | | 2717 S 74TH ST | FORT SMITH | AR | 729035100 |
| 1528786316 | KOPACZ | JESSICA | MARIE | | 7001 ROGERS AVE STE 501 | FORT SMITH | AR | 729034073 |
| 1669909255 | STAUFFER | CLYDE | MCCLELLAN | | 7001 ROGERS AVE STE 600 | FORT SMITH | AR | 729034073 |
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