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NPI,EntityTypeCode,ReplacementNPI,EmployerIdentificationNumberEIN,ProviderOrganizationNameLegalBusinessName,ProviderLastNameLegalName,ProviderFirstName,ProviderMiddleName,ProviderNamePrefixText,ProviderNameSuffixText,ProviderCredentialText,ProviderOtherOrganizationName,ProviderOtherOrganizationNameTypeCode,ProviderOtherLastName,ProviderOtherFirstName,ProviderOtherMiddleName,ProviderOtherNamePrefixText,ProviderOtherNameSuffixText,ProviderOtherCredentialText,ProviderOtherLastNameTypeCode,ProviderFirstLineBusinessMailingAddress,ProviderSecondLineBusinessMailingAddress,ProviderBusinessMailingAddressCityName,ProviderBusinessMailingAddressStateName,ProviderBusinessMailingAddressPostalCode,ProviderBusinessMailingAddressCountryCodeIfoutsideUS,ProviderBusinessMailingAddressTelephoneNumber,ProviderBusinessMailingAddressFaxNumber,ProviderFirstLineBusinessPracticeLocationAddress,ProviderSecondLineBusinessPracticeLocationAddress,ProviderBusinessPracticeLocationAddressCityName,ProviderBusinessPracticeLocationAddressStateName,ProviderBusinessPracticeLocationAddressPostalCode,ProviderBusinessPracticeLocationAddressCountryCodeIfoutsideUS,ProviderBusinessPracticeLocationAddressTelephoneNumber,ProviderBusinessPracticeLocationAddressFaxNumber,ProviderEnumerationDate,LastUpdateDate,NPIDeactivationReasonCode,NPIDeactivationDate,NPIReactivationDate,ProviderGenderCode,AuthorizedOfficialLastName,AuthorizedOfficialFirstName,AuthorizedOfficialMiddleName,AuthorizedOfficialTitleorPosition,AuthorizedOfficialTelephoneNumber,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch
1053391896,1,,,,CUMMINGS,JULIA,KAY,MS.,,PT,,,,,,,,,,PSC 47 BOX 651,,APO,AO,09470,GB,,,423D MEDICAL FLIGHT/SGOH,UNIT 5610 BOX 223,APO,AE,094705610,GB,1480844533,,01/18/2006,07/21/2022,,,,F,,,,,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,,225100000X,6040,FL,