NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1174616155	BRINK	THEODORE	M		11406-1 SAN JOSE BLVD	JACKSONVILLE	FL	32223
1982817193	RUBIN	JACK			11406 SAN JOSE BLVD	JACKSONVILLE	FL	322237963

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