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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'000670 | XCELLAB DIAGNOSTIC AND IMAGING CENTER | '029676 | PORMIDA | KRISTINE | GO | 274048786 | Ophthalmology | |
'000670 | XCELLAB DIAGNOSTIC AND IMAGING CENTER | '020701 | GUTIERREZ | WINSTON ANTHONY | P | 903821161000 | Internal Medicine |
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