ProviderBusinessMailingAddressFaxNumber = '8592771595'
NPILastNameFirstNameMidNameOrganizationMailing AddressCityStateZip
1407806532BEITINGDANIELJ. 1221 S BROADWAYLEXINGTONKY405042701
1952366965SHRESTHANATALIAA. 1221 S BROADWAYLEXINGTONKY405042701

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