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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'001762 | SPECIALISTS' PRIMARY CARE OF ILANG INC. | '032228 | ODDETTE | AQUITANIA | 0.3598987121 | Pediatric | ||
'001762 | SPECIALISTS' PRIMARY CARE OF ILANG INC. | '002366 | LOPEZ | DIVINA | DIVINA | 127876466 | ||
'001762 | SPECIALISTS' PRIMARY CARE OF ILANG INC. | '003124 | UGDANG | EMELIE | 158771808 | |||
'001762 | SPECIALISTS' PRIMARY CARE OF ILANG INC. | '002697 | LUMANLAN | GENE PAUL | J. | 917419753 | Internal Medicine | |
'001762 | SPECIALISTS' PRIMARY CARE OF ILANG INC. | '007467 | MANGMANG | HERMINEGELDO | HORMACHUELOS | 177297929000 | Pediatrics | |
'001762 | SPECIALISTS' PRIMARY CARE OF ILANG INC. | '029601 | RIVERA | JOANNA GRACE | M | 0.11222 | Family Medicine | |
'001762 | SPECIALISTS' PRIMARY CARE OF ILANG INC. | '002339 | ILAGAN | JOSE BRIAN | J | 101141088 | Surgery-General | |
'001762 | SPECIALISTS' PRIMARY CARE OF ILANG INC. | '034102 | SUELTO | LINDSEY | Internal Medicine | |||
'001762 | SPECIALISTS' PRIMARY CARE OF ILANG INC. | '002713 | JAYLO | MARIA SALUD | N. | 927682663 | Internal Medicine | |
'001762 | SPECIALISTS' PRIMARY CARE OF ILANG INC. | '007273 | RIVERA | RAMON MELITON | MENDOZA | 119453554 | Internal Medicine |
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