ProviderBusinessMailingAddressFaxNumber = '4795876105'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1093076820 | COOKE | MARCUS | | | 1100 N COLLEGE AVE | FAYETTEVILLE | AR | 727031944 |
| 1518496504 | HENSEN | KELSEY | BLAIR | | 2360 E PERSHING BLVD | CHEYENNE | WY | 820015356 |
| 1780188193 | HOUSER | BROOKE | | | 1100 N COLLEGE AVE | FAYETTEVILLE | AR | 727031944 |
| 1548842693 | LASTER | RILEY | ZANE | | 1100 N COLLEGE AVE | FAYETTEVILLE | AR | 727031944 |
| 1073017497 | NATARAJAN | RAMYA | | | 1100 N COLLEGE AVE | FAYETTEVILLE | AR | 727031944 |
| 1174010342 | SCHAFFNER | MATTHEW | | | 1100 N COLLEGE AVE | FAYETTEVILLE | AR | 727031944 |
| 1992232235 | SPIKES | KAITLIN | | | 1100 N COLLEGE AVE | FAYETTEVILLE | AR | 727031944 |
| 1508360553 | TAYLOR | BRADLEY | JOEL | | 1100 N COLLEGE AVE | FAYETTEVILLE | AR | 727031944 |
| 1073256525 | THOMPSON | RACHEL | | | 1100 N COLLEGE AVE | FAYETTEVILLE | AR | 727031944 |
| 1972007490 | UCHIDA | STEPHANIE | NICOLE | | 1100 N COLLEGE AVE | FAYETTEVILLE | AR | 727031944 |
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