ProviderBusinessMailingAddressFaxNumber = '7858430032'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1164822003	BONNEL	DEVA			1112 W 6TH ST	LAWRENCE	KS	660442215
1124393095	LARKIN	MALLORY	E		1112 W 6TH ST	LAWRENCE	KS	660442215

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