ProviderBusinessMailingAddressFaxNumber = '6022423519'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033466651 | | | | 19TH AVENUE CLINIC LLC | PO BOX 32950 | PHOENIX | AZ | 850642950 |
| 1053667709 | | | | 19TH AVENUE CLINIC LLC | PO BOX 32950 | PHOENIX | AZ | 850642950 |
| 1154606945 | | | | 19TH AVENUE CLINIC LLC | PO BOX 32950 | PHOENIX | AZ | 850642950 |
| 1225384985 | | | | 19TH AVENUE CLINIC LLC | PO BOX 32950 | PHOENIX | AZ | 850642950 |
| 1275889933 | | | | 19TH AVENUE CLINIC LLC | PO BOX 32950 | PHOENIX | AZ | 850642950 |
| 1407102163 | | | | 19TH AVENUE CLINIC LLC | PO BOX 32950 | PHOENIX | AZ | 850642950 |
| 1811244601 | | | | 19TH AVENUE CLINIC LLC | PO BOX 32950 | PHOENIX | AZ | 850642950 |
| 1922354687 | | | | 19TH AVENUE CLINIC | PO BOX 32950 | PHOENIX | AZ | 850642950 |
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