ProviderBusinessMailingAddressFaxNumber = '8664070034'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1639693492				CLARK CLINIC INC	212 S FLORIDA ST	BUSHNELL	FL	335136703
1669897377	BOEKEMA	RONNIE-JANE			212 S FLORIDA ST	BUSHNELL	FL	335136703

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