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        <AddressLine1Txt>2728 NIAGARA FALLS BLVD STE STE 9</AddressLine1Txt>
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        <PersonNm>JOHN NORTON</PersonNm>
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        <PersonNm>JAMES KURYAK</PersonNm>
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        <PersonNm>CARL J CAPOLUPO</PersonNm>
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          <AddressLine1Txt>2728 NIAGARA FALLS BLVD</AddressLine1Txt>
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      <OperateHospitalInd>false</OperateHospitalInd>
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        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Payments to affiliates $3157.00</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II Line 24</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II Line 26</FormAndLineReferenceDesc>
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