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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'002210 | KINESIOPLUS PHYSIOTHERAPY & OSTEOPATHY CENTER | '029921 | RIVERA | ERIC | HERRERA | 421641471 | Physical Medicine & Rehabilitation (PM&R) | |
'002210 | KINESIOPLUS PHYSIOTHERAPY & OSTEOPATHY CENTER | '013330 | FERMO | PAUL ANGELO | VILLANGCA | 462826538 | Physical Medicine & Rehabilitation (PM&R) |
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