ProviderBusinessMailingAddressFaxNumber = '5124192683'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1346271905
INMAN
LYNNE
TANNER
 
4110 GUADALUPE ST
AUSTIN
TX
787514223
1639330319
MORISE
DWAYNE
E
 
4110 GUADALUPE ST
AUSTIN
TX
787514223
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