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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'002126 | REACTIVE PHYSICAL THERAPY CLINIC | '016439 | MONTEFALCON | LUIS ALBERT | GERVACIO | 420133579 | Physical Medicine & Rehabilitation (PM&R) | |
'002126 | REACTIVE PHYSICAL THERAPY CLINIC | '002401 | EVANGELISTA | ROWENA HELENA | AFURONG | 161266269 | Orthopedic Surgery |
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