ProviderBusinessMailingAddressFaxNumber = '5854735152'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1508302258
DOLL
ELIZABETH
300 CRITTENDEN BLVD
ROCHESTER
NY
146420001
1528032646
KING
STELLA
O
601 ELMWOOD AVE, BOX PSYCH
ROCHESTER
NY
146420002
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