ProviderBusinessMailingAddressFaxNumber = '6318743786'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1902988439
BARBOZA
LAURA
220 MAIN STREET
CTR. MORICHES
NY
11934
1659924298
CLEMENTS
MICHELLE
ANGELA
1235 MONTAUK HWY
MASTIC
NY
119502917
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