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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'002099 | XCEL LABORATORY AND DIAGNOSTIC CENTER | '020981 | GUTIERREZ | AURORA | A | 213592216 | Obstetrics & Gynecology | |
'002099 | XCEL LABORATORY AND DIAGNOSTIC CENTER | '020701 | GUTIERREZ | WINSTON ANTHONY | P | 903821161000 | Internal Medicine |
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