ProviderBusinessMailingAddressFaxNumber = '4799681673'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1043894231				ICP LOUISIANA ACO BILLING LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1114394285				TRACY TULLOS SOUTHERN THERAPY SPECIALISTS	PO BOX 9178	RUSSELLVILLE	AR	728119178
1144853821				RESORT RADIOLOGY, PLLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1174107338				ICP TENNESSEE ACO BILLING LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1245842848				INTEGRATED CARE PROFESSIONALS OF OKLAHOMA, LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1255915427				ICP OKLAHOMA ACO BILLING LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1275596603				MEDICAL INVESTMENTS OF LITTLE ROCK, LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1316327943				RADIOLOGY ASSOCIATES OF THE OZARKS, PLLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1326693474				WELLNESS CENTERS OF MIDAMERICA PLLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1346356573				MEDICAL INVESTMENTS OF TEXARKANA LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1396193066				ICAREPRO OF TEXAS, PA	PO BOX 9178	RUSSELLVILLE	AR	728119178
1407819840				ST.BERNARDS PET CENTER LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1467095463				OUACHITA PHYSICIAN SERVICES, LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1588770721				TEXARKANA MRI, LP	PO BOX 9178	RUSSELLVILLE	AR	728119178
1679157838				ICP ARKANSAS ACO BILLING LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1831821040				PAIN MEDICINE SPECIALISTS OF ARKANSAS PA	PO BOX 9178	RUSSELLVILLE	AR	728119178
1841874013				ICP ALABAMA ACO BILLING, LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1861818726				INTEGRATED CARE PROFESSIONALS OF MISSISSIPPI, LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1871107474				MIMO MEDICAL SERVICES, LLC	PO BOX 9178	RUSSELLVILLE	AR	728119178
1891758405				RADIOLOGY ASSOCIATES OF NORTH ARKANSAS	PO BOX 9178	RUSSELLVILLE	AR	728119178
1962769521				DR DAVID HEALTH, PA	PO BOX 9178	RUSSELLVILLE	AR	728119178
1609341908	ARNOLD	SANDRA	SIDONIA		PO BOX 9178	RUSSELLVILLE	AR	728119178
1760999858	BARTLETT	VIVIAN			PO BOX 9178	RUSSELLVILLE	AR	728119178
1851310486	BENNETT	CHRISTOPHER			PO BOX 9178	RUSSELLVILLE	AR	728119178
1336734904	BROOKS	HEATHER	DAWN		PO BOX 9178	RUSSELLVILLE	AR	728119178
1316566607	BUSBY	SHANNON			PO BOX 9178	RUSSELLVILLE	AR	728119178
1992291520	BYNUM	ANGEL			PO BOX 9178	RUSSELLVILLE	AR	728119178
1639135775	CAMPBELL	MICHAEL	G		PO BOX 9178	RUSSELLVILLE	AR	728119178
1205884640	CASTSTEEL	DEANA	MICHELLE		PO BOX 9178	RUSSELLVILLE	AR	728119178
1942879002	COMMANDER	JAMES	D		PO BOX 9178	RUSSELLVILLE	AR	728119178
1770921207	COTHERN	TERESA	DANIELLE		PO BOX 9178	RUSSELLVILLE	AR	728119178
1447814470	CURRY	PAMELA			PO BOX 9178	RUSSELLVILLE	AR	728119178
1205443959	DYER	BRANDY			PO BOX 9178	RUSSELLVILLE	AR	728119178
1376102335	HALL	CINDY			PO BOX 9178	RUSSELLVILLE	AR	728119178
1306356415	HOLLAND	LISA			PO BOX 9178	RUSSELLVILLE	AR	728119178
1821731498	HUNTER	COURTLAND			PO BOX 9178	RUSSELLVILLE	AR	728119178
1740819135	ICENHOWER	JERRAMY			PO BOX 9178	RUSSELLVILLE	AR	728119178
1578084703	JAMES	JENNIFER			PO BOX 9178	RUSSELLVILLE	AR	728119178
1689290249	JOHNSON	CARMEN			PO BOX 9178	RUSSELLVILLE	AR	728119178
1013598093	LEPINE	CHASTITI			PO BOX 9178	RUSSELLVILLE	AR	728119178
1487292991	MCCALL	JESSICA			PO BOX 9178	RUSSELLVILLE	AR	728119178
1477050110	MURACH	KYNDAL	RILEY		PO BOX 9178	RUSSELLVILLE	AR	728119178
1285724757	OLAYA	JULIO	R		PO BOX 9178	RUSSELLVILLE	AR	728119178
1902480643	RATLIFF	BRANDI			PO BOX 9178	RUSSELLVILLE	AR	728119178
1205345386	REEDER	BLAKELY			PO BOX 9178	RUSSELLVILLE	AR	728119178
1730841883	REYNOLDS	KACEE			PO BOX 9178	RUSSELLVILLE	AR	728119178
1417581505	RICHMOND	ASHLI			PO BOX 9178	RUSSELLVILLE	AR	728119178
1295311280	SISSON	LOGAN	FAYE SCOGGINS		PO BOX 9178	RUSSELLVILLE	AR	728119178
1972119295	SUMMERS	SAVANNAH			PO BOX 9178	RUSSELLVILLE	AR	728119178
1548222532	THORNTON	BRANDIE	JO		PO BOX 9178	RUSSELLVILLE	AR	728119178
1851459697	TSHIBAKA	CIMENGA	M		PO BOX 9178	RUSSELLVILLE	AR	728119178
1649720095	UPCHURCH	JESSICA			PO BOX 9178	RUSSELLVILLE	AR	728119178
1396200978	WATSON	CHARLETT			PO BOX 9178	RUSSELLVILLE	AR	728119178
1770075673	WESTERMAN	SANDRA			PO BOX 9178	RUSSELLVILLE	AR	728119178
1881279222	WHITFIELD	SABRINA			PO BOX 9178	RUSSELLVILLE	AR	728119178
1700398005	WINSTON	ANDREKA			PO BOX 9178	RUSSELLVILLE	AR	728119178

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