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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'002176 | DISTINCTIVE PHYSICAL THERAPY AND PAIN REHABILITATION CLINIC | '033308 | CARILLANES-FIESTA | MARIE ARENBI | ILAGAN | 33213009700000 | Physical Medicine & Rehabilitation (PM&R) | |
'002176 | DISTINCTIVE PHYSICAL THERAPY AND PAIN REHABILITATION CLINIC | '030541 | VALERA | MIGUEL JULIO | SALAZAR | 709508773 | Physical Medicine & Rehabilitation (PM&R) |
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