Address,City,Direct Address,Email,Fax Number,First Name,Last Name,Middle Name,Npi,Organization Name,Phone Number,Provider Number,Salutation,Specialty,State,Suffix,Zip Code,Full Name
123 Main St,Sunnyvale,j.appleseed@thisreferralsourcepracticename.com,j.appleseed@thisreferralsourcepracticename.com,9995555555,Johnny,Appleseed,,1234567890,Referral Practice Name,9995551234,0,Dr.,Neurology,CA,MD,94789,"Dr. Johnny Appleseed, MD"