ProviderBusinessMailingAddressFaxNumber = '7074722735'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1275941676				MENDOCINO COUNTY	1120 S DORA ST	UKIAH	CA	954826340
1992984074	HARMON	EILEEN			1120 S DORA ST	UKIAH	CA	954826340

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