ProviderBusinessMailingAddressFaxNumber = '7122662718'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1043521644
ANTONOPOULOS
KOSTA
P
5885 SUNNYBROOK DR
SIOUX CITY
IA
511064203
1952612558
TALLERICO-ANTONOPOULOS
VALERIE
KAY
5885 SUNNYBROOK DR
SIOUX CITY
IA
511064203
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