ProviderBusinessMailingAddressFaxNumber = '4799675591'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1295092591	BOWDEN	PHILLIP	GLEN		1402 E 16TH ST	RUSSELLVILLE	AR	728022648
1134476740	MCCLURE	SANDRA			1402 E 16TH ST	RUSSELLVILLE	AR	728022648

Home