NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1205152832	BRISTOW	DANIEL	JOSEPH		10180 SE SUNNYSIDE RD	CLACKAMAS	OR	970158970
1417361635	STAI	JENNIFER	CHRISTINE		10180 SE SUNNYSIDE RD	CLACKAMAS	OR	970158970

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