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PROVIDER TYPE CODE PROVIDER SPECIALTY CODE …

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410-Ophthalmologic Surgery 261QS0132X 212-Oral Maxillofacial Surgery 261QS0112X 218-Pain Management 261QP3300X 110-Physical Therapy 261QP2000X 048-Podiatric 261QP1100X 413-Primary Care 261QP2300X 416-Public Health, State or Local 261QP0905X 030-Radiology 261QR0200X 417-Radiology, Mammography 261QR0206X 418-Radiology, Mobile 261QR0208X

  Surgery, Oral, Maxillofacial, Oral maxillofacial surgery

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