ProviderBusinessMailingAddressFaxNumber = '5417790217'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1760482418	CARPENTER	KERRY	JOY		977 ROYAL AVE	MEDFORD	OR	975046140
1548469158	FUERST	CARLA	JENIFER		977 ROYAL AVE	MEDFORD	OR	975046140

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