ProviderBusinessMailingAddressFaxNumber = '5742963392'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1013380526				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1013912286				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1083165708				ELKHART CLINIC, LLC	303 S NAPPANEE ST	ELKHART	IN	465142066
1235303165				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1255580262				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1518338235				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1689950867				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1700364916				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1730638990				ELKHART CLINIC, LLC	303 S NAPPANEE ST	ELKHART	IN	465142066
1821329723				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1831423284				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1164846945				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1962788141				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1972893691				ELKHART CLINIC, LLC	PO BOX 2968	ELKHART	IN	465152968
1982846010				ELKHART CLINIC, LLC	303 S NAPPANEE ST	ELKHART	IN	465142066
1225510522	ACTON	KIMBERLEE	LYNN		303 S NAPPANEE ST	ELKHART	IN	465142098
1144681941	HARTL	JENNIFER	ANN		PO BOX 2968	ELKHART	IN	465152968
1194078634	JOHNSON	ABIGAIL	ANNE		PO BOX 2968	ELKHART	IN	465152968
1265435861	LEE	WAI	H.		710 N NILES AVE	SOUTH BEND	IN	466171924
1376847715	MCKAY	SARAH	IRENE		PO BOX 2968	ELKHART	IN	465152968
1043537020	MITCHELL	EMILY	A		PO BOX 2968	ELKHART	IN	465152968
1952356503	RUTCHIK	SCOTT			PO BOX 2968	ELKHART	IN	465152968
1871596700	SIDDIQUI	KAMRAN	FASIH		PO BOX 2968	ELKHART	IN	465152968
1962676106	WELTY	PATRICIA			PO BOX 2968	ELKHART	IN	465152968

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