NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1174175145	TEADE	ALEX	W		1917 N LAKEWOOD DR	COEUR D ALENE	ID	838142634
1376864256	VAUGHN	JASON	M		1917 N LAKEWOOD DR	COEUR D ALENE	ID	838142634

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