ProviderBusinessMailingAddressFaxNumber = '5732022460'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1245411669	REQUET	HEATHER	DAWN		1050 W 10TH ST	ROLLA	MO	654012905
1922416296	ULRICH	KAREN			1050 W 10TH ST	ROLLA	MO	654012905

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