ProviderBusinessMailingAddressFaxNumber = '5859224012'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1063684736
PAZ
GEORGE
JOSEPH
1425 PORTLAND AVE
ROCHESTER
NY
146213001
1831730852
TENBROEKE
ADAM
DEREK
100 KINGS HWY S
ROCHESTER
NY
146175504
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