ProviderBusinessMailingAddressFaxNumber = '7403567900'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1134328594 | COOK | SAMANTHA | L | | 1735 27TH ST STE B06 | PORTSMOUTH | OH | 456622681 |
| 1154321867 | LOGAN | SCOTT | D | | 1735 27TH ST STE B06 | PORTSMOUTH | OH | 456622681 |
| 1588115828 | NICKLES | KRISTIN | | | 1735 27TH ST STE B06 | PORTSMOUTH | OH | 456622681 |
| 1861674087 | SLOAN | MATTHEW | R | | 1735 27TH ST STE B06 | PORTSMOUTH | OH | 456622681 |
| 1518364546 | SWORDS | JASON | LEE | | 1735 27TH ST STE B06 | PORTSMOUTH | OH | 456622681 |
| 1285917096 | WARD | KARI | LYNN | | 1735 27TH ST STE B06 | PORTSMOUTH | OH | 456622681 |
| 1639692759 | WILLIAMS | AMANDA | J | | 1735 27TH ST STE B06 | PORTSMOUTH | OH | 456622681 |
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