ProviderBusinessMailingAddressFaxNumber = '7149307926'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1265022438	NGUYEN	AMY			100 N STATE COLLEGE BLVD STE H	FULLERTON	CA	928314236
1528685054	PUCK	TORRENCE			100 N STATE COLLEGE BLVD STE H	FULLERTON	CA	928314236

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