PROVIDER TYPE CODE PROVIDER SPECIALTY CODE …
212-Oral Maxillofacial Surgery 204E00000X 214-Orthopedic Hand Surgery 207XS0106X 020-Orthopaedic Surgery 207X00000X 217-Otolarynology 207Y00000X 219-Pain Medicine 208VP0000X 108-Pediatric Allergy & Immunology 2080P0201X 412-Pediatric Anesthesiology 207LP3000X 221-Pediatric Cardiology 2080P0202X 222-Pediatric Dermatology 207NP0225X
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