NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1639110083	VAD	BAL	G		3801 NW 63RD ST	OKLAHOMA CITY	OK	731161921
1124069059	VAD	LATA	B		3801 NW 63RD ST	OKLAHOMA CITY	OK	731161921

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