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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'000490 | BUHANGIN MEDICAL CLINIC & DIAGNOSTIC CENTER | '031311 | MOSQUEDA-GO | MIRAVIT LEA | LOPEZ | 905968157001 | Obstetrics & Gynecology | |
'000490 | BUHANGIN MEDICAL CLINIC & DIAGNOSTIC CENTER | '019477 | ANGUS | VICTORIO | Pediatric |
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