ProviderBusinessMailingAddressFaxNumber = '5592289989'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1396210563				GREEN SPORTS MEDICINE INC	7471 N FRESNO ST	FRESNO	CA	937202457
1215411954	BRANTLE	SPENCER	LAMONT		7471 N FRESNO ST	FRESNO	CA	937202457

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