ProviderBusinessMailingAddressFaxNumber = '8135155475'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1700297009	GIBSON	DERHENA			5230 E FOWLER AVE	TEMPLE TERRACE	FL	336172147
1275945859	OBER	JENNIFER			5230 E FOWLER AVE	TEMPLE TERRACE	FL	336172147

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