NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1154886703	MANCUSO	CHRISTOPHER	JOSEPH		327 BEACH 19TH ST	FAR ROCKAWAY	NY	116914423
1255719415	TEAGUE	TERRI	JO		327 BEACH 19TH ST	FAR ROCKAWAY	NY	116914423

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