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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'002793 | SANDBOX CLINIC- EAST | '031436 | LAXAMANA | FRANCIS EXEQUIEL | MICIANO | 480667938 | Physical Medicine & Rehabilitation (PM&R) | |
'002793 | SANDBOX CLINIC- EAST | '033231 | DESQUITADO | GLENN DALE | MEJIA | Physical Medicine & Rehabilitation (PM&R) | ||
'002793 | SANDBOX CLINIC- EAST | '033748 | PANIS | RIA MIKHAELLA | ...014 | Physical Medicine & Rehabilitation (PM&R) |
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