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          <AddressLine1Txt>3509 N Broad Street Room 936 c/o TU</AddressLine1Txt>
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          <AddressLine1Txt>3509 N Broad Street Room 936 c/o TU</AddressLine1Txt>
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          <AddressLine1Txt>3509 N Broad Street Room 936 c/o TU</AddressLine1Txt>
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          <BusinessNameLine1Txt>Temple Faculty Practice Plan Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>3509 N Broad Street Room 936 c/o TU</AddressLine1Txt>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>