ProviderBusinessMailingAddressFaxNumber = '7193926937'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1053370650	JOHNSON	THOMAS	G		5115 FONTAINE BLVD	FOUNTAIN	CO	808171061
1144219312	VESELKA	DEANNE	L		5115 FONTAINE BLVD	FOUNTAIN	CO	808171061

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