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Organization or Provider's Last Name:
Provider First Name:
City:
Specialty:
ACCOUNTABLE CARE ORGANIZATION
ACUTE CARE HOSPITAL
ADDICTIONOLOGY
ADMINISTRATIVE MEDICINE
AEROSPACE MEDICINE
ALLERGY
AMBULANCE SERVICE
AMBULATORY SURGICAL
ANESTHESIOLOGY
ASSISTED LIVING FACILITY
ASSITED INTER. ON EL
ATHLETIC TRAINER
AUDIOLOGIST
BARIATRIC MEDICINE
BARIATRIC SURGERY
BLOOD BANKING PATHOLOGY
BLOOD CENTER
BRIDGE YEAR PHYSICIAN
BRONCHO ESOPHAGOLOGY
CARDIOVASCULAR DISEASE - MINOR SURGERY
CARDIOVASCULAR DISEASE - NO SURGERY
CARDIOVASCULAR DISEASE- MAJOR INVASIVE
CAST TECHNICIAN
CERTIFIED LAB TECH.
CHILD NEUROLOGY
CHILD PSYCHIATRY
CHIROPRACTOR
CLINIC
CLINICAL NURSE SPECIALIST
CLINICAL PATHOLOGY
CLINICAL PHARMACOLOGIST
CONVERSION DEFAULT
CORPORATION
COUNSELING THERAPY
CYTOTECHNOLOGIST
DENTAL ASSISTANT
DENTAL HYGENIST
DENTAL SERVICES
DENTIST
DENTIST - INCLUDING COSMETIC INJECTIONS
DERMATOLOGY - MINOR SURGERY
DERMATOLOGY - NO SURGERY
DIABETES - MINOR SURGERY
DIABETES - NO SURGERY
DIALYSIS CENTER
DIETICIAN
DIGESTIVE DISEASES
DRUG STORE
EAR, NOSE & THROAT
EMERGENCY DEPARTMENT
EMERGENCY MEDICINE - INCLUDING MAJOR SURGERY
EMERGENCY MEDICINE- NO MAJOR SURGERY
EMERGENCY ROOM SERVICES
ENDOCRINOLOGY
ENDOCRINOLOGY - NO SURGERY
FAMILY PRACTICE - MINOR SURGERY
FAMILY PRACTICE - NO SURGERY
FORENSIC MEDICINE
FORENSIC PATHOLOGY
GASTROENTEROLOGY - MAJOR SURGERY
GASTROENTEROLOGY - MINOR SURGERY
GASTROENTEROLOGY - NO SURGERY
GENERAL OR FAMILY PRACTITIONER - MAJOR SURGERY
GENERAL PRACTICE - NO SURGERY
GENERAL PRACTICE- MINOR SURGERY
GENERAL PREVENTIVE MEDICINE
GENERAL PREVENTIVE MEDICINE - NO SURGERY
GERIATRICS - MINOR SURGERY
GERIATRICS - NO SURGERY
GYNECOLOGY - MINOR SURGERY
GYNECOLOGY - NO SURGERY
HEALTH CARE
HEALTH UNIT
HEMATOLOGY - NO SURGERY
HEMATOLOGY- MINOR SURGERY
HOME HEALTH CARE
HOSPICE
HOSPITAL
HOSPITALIST
HYPNOSIS
IMAGING CENTER
INFECTIOUS DISEASE - MINOR SURGERY
INFECTIOUS DISEASE - NO SURGERY
INTENSIVE CARE MEDICINE
INTERNAL MEDICINE - MINOR SURGERY
INTERNAL MEDICINE- NO SURGERY
LABORATORY
LARYNGOLOGY - MINOR SURGERY
LARYNGOLOGY - NO SURGERY
LEGAL MEDICINE
LICENSED PRACTICAL NURSE
LTAC HOSPITAL
LUNG SPECIALIST
M.D. MAJOR SURGERY
MANAGEMENT COMPANY
MEDICAL GROUP
MEDICAL SOCIAL WORKER
MEDICAL TRANSCRIPTIST
MENTAL HEALTH
MISCELLANEOUS
NEONATOLOGY - INTENSIVE CARE MEDICINE
NEOPLASTIC DISEASE/ONCOLOGY - MINOR SURGERY
NEOPLASTIC DISEASE/ONCOLOGY - NO SURGERY
NEPHROLOGY - MINOR SURGERY
NEPHROLOGY - NO SURGERY
NEUROLOGICAL SURGERY
NEUROLOGIST
NEUROLOGY - NO SURGERY
NEUROLOGY- MINOR SURGERY
NUCLEAR MEDICINE
NURSE ANESTHETIST
NURSE ASSISTANT
NURSE MIDWIFE/CERTIFIED
NURSE PRACTITIONER
NURSING HOME
NURSING SERVICES
NUTRITION
OCCUPATIONAL MEDICINE
OCCUPATIONAL THERAPIST
OPHTHALMIC ASSISTANTS
OPHTHAMOLOGY - MINOR SURGERY
OPHTHAMOLOGY - NO SURGERY
OPTICIAN
OPTOMETRIST
ORAL SURGEON
ORTHODONTIST
ORTHOPEDIC - MINOR SURGERY/PROCEDURES
ORTHOPEDIC - NO SURGERY/PROCEDURE
ORTHOTISTS/PROSTHETISTS
OTOLOGY - MINOR SURGERY
OTOLOGY - NO SURGERY
OTORHINOLARYNGOLOGY - MINOR SURGERY
OTORHINOLARYNGOLOGY - NO SURGERY
PAIN MANAGEMENT - SPECIALIST
PARAMEDICS
PAREMEDIC
PARTNERSHIP
PATHOLOGY - MINOR SURGERY
PATHOLOGY - NO SURGERY
PEDIATRIC RADIOLOGY
PEDIATRICS - MINOR SURGERY
PEDIATRICS - NO SURGERY
PERFUSIONIST
PHARMACIST
PHARMACOLOGY - CLINICAL
PHLEBOTOMIST
PHYSIATRY
PHYSICAL MEDICINE & REHABILITATION
PHYSICAL THERAPIST
PHYSICIANS - MINOR SURGERY - N.O.C.
PHYSICIANS - N.O.C. (NO PROCEDURES)
PHYSICIANS - N0 MAJOR SURGERY
PHYSICIANS - NO MAJOR SURGERY
PHYSICIANS - NO SURGERY - N.O.C.
PHYSICIANS ASSISTANT
PHYSICIST
PODIATRY
PSYCH HOSPITAL
PSYCHIATRIC SOCIAL WORKER
PSYCHIATRY
PSYCHOANALYSIS
PSYCHOLOGIST
PSYCHOLOGY TECHNICIAN
PSYCHOSOMATIC MEDICINE
PSYCHOTHERAPIST
PULMONARY DISEASE - NO SURGERY
RADIOLOGY - DIAGNOSTIC - MINOR SURGERY
RADIOLOGY - MAJOR INVASIVE PROCEDURES
RADIOLOGY TECHNOLOGIST
RADIOLOGY-DIAGNOSTIC - NO SURGERY
RADIOTHERAPY
REGISTERED NURSE
REGISTERED TECH.
REHAB HOSPITAL
RESPIRATORY THERAPIST
RHEUMATOLOGY - NO SURGERY
RHINOLOGY - MINOR SURGERY
RHINOLOGY - NO SURGERY
SCRUB NURSE
SLEEP MEDICINE
SOCIAL WORKER
SPEECH PATHOLOGIST
SPERM BANK
SPORTS MEDICINE - MINOR SURGERY
SPORTS MEDICINE - NO SURGERY
STAFFING SERVICE
STRESS THERAPIST
SUBSTANCE ABUSE
SURGERY-ABDOMINAL
SURGERY-CARDIAC
SURGERY-CARDIOVASCULAR DISEASE
SURGERY-COLON & RECTAL
SURGERY-ENDOCRINOLOGY
SURGERY-GASTROENTEROLOGY
SURGERY-GENERAL - N.O.C.
SURGERY-GENERAL OR FAMILY PRACTICE
SURGERY-GERIATRICS
SURGERY-GYNECOLOGY
SURGERY-HAND
SURGERY-HEAD & NECK
SURGERY-LARYNGOLOGY
SURGERY-NEOPLASTIC
SURGERY-NEPHROLOGY
SURGERY-NEUROLOGY
SURGERY-OBSTETRICS
SURGERY-OBSTETRICS/GYNECOLOGY
SURGERY-OPHTHALMOLOGY
SURGERY-OPTOMETRY
SURGERY-ORTHOPEDIC
SURGERY-ORTHOPEDIC - SPINAL SURGERY
SURGERY-OTOLOGY
SURGERY-OTORHINOLARYNGOLOGY
SURGERY-PLASTIC - N.O.C.
SURGERY-PLASTIC OTORHINOLARYNGOLOGY
SURGERY-RHINOLOGY
SURGERY-THORACIC
SURGERY-TRAUMATIC
SURGERY-UROLOGICAL
SURGERY-VASCULAR
SURGICAL ASSISTANT
SURGICAL NURSE
SURGICAL TECHNOLOGIST
TECHNICIAN
THERAPEUTIC RADIOLOGY
THERAPIST
TRANSPLANT SURGERY
URGENT CARE - MEDICINE
UROLOGY/GYNECOLOGY
VASCULAR TECHNOLOGIST
VOLUNTEERS (HOSPITAL)
WOUND CARE
X-RAY TECHNICIAN
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