ProviderBusinessMailingAddressFaxNumber = '7318245139'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1932513165	KELLY	JOHN			3525 CHERE CAROL RD	HUMBOLDT	TN	383433638
1477967602	LANSDALE	JEFFREY	D		3525 CHERE CAROL RD	HUMBOLDT	TN	383433638

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