ProviderBusinessMailingAddressFaxNumber = '9377677107'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1356639397				PREMIER HEALTH SPECIALISTS INC	100 KAHOE LN	YELLOW SPRINGS	OH	453871243
1386623817	WATSON	KEITH	A		100 KAHOE LN	YELLOW SPRINGS	OH	453871243

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