ProviderBusinessMailingAddressFaxNumber = '7042953121'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1942258991	BOURGEOIS	JOHN	ELLIOT		6035 FAIRVIEW RD	CHARLOTTE	NC	282103256
1265480149	FLORES	ROBERT	A		6035 FAIRVIEW RD	CHARLOTTE	NC	282103256

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