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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'002575 | AGILE PHYSIORECOVERY PHYSICAL THERAPY CLINIC - CUBAO | '032670 | ARBOLEDA | JEFFREY | SIMPAO | 26080180400000 | Physical Medicine & Rehabilitation (PM&R) | |
'002575 | AGILE PHYSIORECOVERY PHYSICAL THERAPY CLINIC - CUBAO | '003452 | DECENA | KIM | D. | 909462424 | Physical Medicine & Rehabilitation (PM&R) | |
'002575 | AGILE PHYSIORECOVERY PHYSICAL THERAPY CLINIC - CUBAO | '016439 | MONTEFALCON | LUIS ALBERT | GERVACIO | 420133579 | Physical Medicine & Rehabilitation (PM&R) | |
'002575 | AGILE PHYSIORECOVERY PHYSICAL THERAPY CLINIC - CUBAO | '022511 | CORDERO | LUIS MARCIANO | 233448897 | Physical Medicine & Rehabilitation (PM&R) | ||
'002575 | AGILE PHYSIORECOVERY PHYSICAL THERAPY CLINIC - CUBAO | '031670 | YEUNG | RALPH GEOFFREY | A. | 225316669000 | Orthopedic Surgery |
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