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ProviderCode
Provider Name
Physician ID
Last Name
First Name
Middle Name
TIN #
Specialization
Sub Specialization
'001576
DR. V T TALEON MEDICAL CLINIC
'023632
MANA-AY
MARY GRACE
F.
923931469
Family Medicine
'001576
DR. V T TALEON MEDICAL CLINIC
'013771
FLOTILDE
NELSON
YAP
270943880
Family Medicine
'001576
DR. V T TALEON MEDICAL CLINIC
'007304
MOLO
PHYLLIS
MELENDEZ
933594690
Internal Medicine
'001576
DR. V T TALEON MEDICAL CLINIC
'023633
TALEON
VIRGINIA
T
134574525
Family Medicine
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