ProviderBusinessMailingAddressFaxNumber = '8122320355'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1114942158
TERRE HAUTE PODIATRY
3760 S 4TH ST
TERRE HAUTE
IN
47802
1003831538
KLEINMAN
ELLIOT
L
3760 S 4TH ST
TERRE HAUTE
IN
478025507
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