ProviderBusinessMailingAddressFaxNumber = '5737784699'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1497822621	DEMENT	WILLIAM	T		1500 N WESTWOOD BLVD	POPLAR BLUFF	MO	639013318
1699949016	REID	TAMMY	DEAN		1500 N WESTWOOD BLVD	POPLAR BLUFF	MO	639013318

Home