ProviderBusinessMailingAddressFaxNumber = '4802128451'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1396748877
BRADFORD
WILLIAM
B
DEPT 0765
BIRMINGHAM
AL
352460765
1104829688
CLARKE
STANLEY
D
15055 COLLECTION CENTER DR
CHICAGO
IL
606930001
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