ProviderBusinessMailingAddressFaxNumber = '7012345124'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053339697 | DRAGE | DAVID | C | | 801 BROADWAY N | FARGO | ND | 581023641 |
| 1649298290 | GRIFFIN | DAVID | M | | 801 BROADWAY N | FARGO | ND | 581023641 |
| 1255359808 | HAUGEN | GREGORY | MICHAEL | | 737 BROADWAY | FARGO | ND | 581220001 |
| 1841217700 | HINTZ | WARREN | J | | 801 BROADWAY N | FARGO | ND | 581023641 |
| 1013934975 | HUSHKA | DOUGLAS | J | | 801 BROADWAY N | FARGO | ND | 581023641 |
| 1124281043 | KOZOJED | MIA | M | | 737 BROADWAY | FARGO | ND | 581220001 |
| 1164449633 | PARKS | JAMES | SCOTT | | 801 BROADWAY N | FARGO | ND | 581023641 |
| 1740202381 | SCHAFF | TROY | C | | 801 BROADWAY N | FARGO | ND | 581023641 |
| 1669403762 | TESKE | OWEN | GARTH | | 801 BROADWAY N | FARGO | ND | 581023641 |
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