NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1245310903				QLIMG RONKONKOMA MED OFFICE	640 HAWKINS AVE	LAKE RONKONKOMA	NY	117792324
1174560684	NIEDERER	BETTINA	S.		640 HAWKINS AVE	LAKE RONKONKOMA	NY	117792324

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