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ProviderCode
Provider Name
Physician ID
Last Name
First Name
Middle Name
TIN #
Specialization
Sub Specialization
'002608
TANTAY SURGICAL CLINIC
'030509
TANTAY
DAVID
A.
118832-77
Surgery-General
'002608
TANTAY SURGICAL CLINIC
'032149
TANTAY
EVA
12914311600001
Obstetrics & Gynecology
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