ProviderBusinessMailingAddressFaxNumber = '5854423824'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1922029925
HORGAN
MICHAEL
ANDREW
601 ELMWOOD AVE BOX 670
ROCHESTER
NY
146420001
1598731531
WELLES
RICHARD
V
601 ELMWOOD AVE
ROCHESTER
NY
146420001
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