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PROVIDER TYPE CODE PROVIDER SPECIALTY CODE …

PROVIDER TYPE CODEPROVIDER SPECIALTY CODETAXONOMY CODE074-Clinical Neuropsychologist103G00000X152-Counselor 101Y00000X155-Counselor, Addiction101YA0400X177-Counselor, Licensed Associate Professional (LAPC)101YP2500X190-Counselor, Licensed Professional Clinical (LPCC)101YP2500X194-Counselor, Professional101YP2500X403-Marriage & Family Therapist106H00000X191-Licensed Independent Clinical Social Worker (LICSW, LCSW)1041C0700X 050-Psychologist103T00000X425-Social Worker (LSW)104100000X011-Chiropractic Providers047-Chiropractor111N00000X019-D entists122300000X062-Endodontics1223E020 0X001-General Practice1223G0001X212-Oral Maxillofacial Surgery1223S0112X064-Orthodontics1223X04 00X063-Pedodontics (Pediatric Dentistry)1223P0221X065-Periodontics1223 P0300X066-Prosthodontics1223P0700X013-Di etary & Nutritional Service Providers056-Licensed Registered Dietician133V00000X411-Optician156FX1800 X08

206-Critical Care Medicine 207RC0200X 007-Dermatology 207N00000X ... 483-Air Carrier 344800000X 132-Ambulance 341600000X 385-Bus 347B00000X 387-Private Vehicle 347C00000X 388-Secured Medical Transport (Van) 343800000X 389-Taxi 344600000X 390-Train 347D00000X 484-Transportation Broker 347E00000X 485-Advanced Practice Midwife …

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  Critical, Transport, Care, Critical care

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