ProviderBusinessMailingAddressFaxNumber = '8153817582'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1497784797	BULLIS	GREGORY			5666 EAST STATE ST	ROCKFORD	IL	611082472
1124058599	WASHINGTON	CHARLES	D		5666 EAST STATE ST	ROCKFORD	IL	611082472

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