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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'001613 | EXACT CHECK DIAGNOSTIC CENTER, INC - LIBIS | '033593 | REYES | RAPHAEL PONCIANO LORENZO NICOLO | MATHAY | 43694937000000 | Internal Medicine | |
'001613 | EXACT CHECK DIAGNOSTIC CENTER, INC - LIBIS | '027405 | CU | STEPHEN | GO | 117796588000 | Internal Medicine |
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