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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'002151 | DYNAMIC-GRIT PHYSICAL THERAPY CLINIC | '033879 | ORTEGA | ANDRIE LORENZO | FIDEL | Orthopedic Surgery | ||
'002151 | DYNAMIC-GRIT PHYSICAL THERAPY CLINIC | '030647 | CATALAN | MICAH | 98489451 | Physical Medicine & Rehabilitation (PM&R) |
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