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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'001712 | ANTONIO PAIN CENTER AND PHYSICAL THERAPY SERVICES - NAGA | '003418 | VALDEZ | GERMAN | 270452843 | Orthopedic Surgery | ||
'001712 | ANTONIO PAIN CENTER AND PHYSICAL THERAPY SERVICES - NAGA | '007342 | VALDENOR | MA. CZARLOTA | ACELAJADO | 907277416000 | Internal Medicine | Nephrology |
'001712 | ANTONIO PAIN CENTER AND PHYSICAL THERAPY SERVICES - NAGA | '029803 | GONZALEZ | MARIA KATHERINE CARMELA | CORREA | 298736911 | Physical Medicine & Rehabilitation (PM&R) | |
'001712 | ANTONIO PAIN CENTER AND PHYSICAL THERAPY SERVICES - NAGA | '006200 | SAMANIEGO | RONALD | Internal Medicine |
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