ProviderBusinessMailingAddressFaxNumber = '7074434847'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1467483305
DIAMOND
DANIEL
SCOTT
2321 HARRISON AVE
EUREKA
CA
955013216
1497832190
VANSPEYBROECK
JOHN
ARTHUR
PO BOX 1155
ARCATA
CA
955181155
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