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MD
Code
First Name
Last Name
Credentials
Address 1
Address 2
City
State
Zip
Code
Phone
NPI
State
License
Medical
License
Referring
Physician ID
 Status
0089 James Peterson JamesP Crossings, 234 Miller House San Bernardino CA 89867 999-99-9999 998 8989789 543563634 87676 Active
0095 Chris Allan AllanC Crossings, 234 Miller House San Bernardino CA 89867 999-99-9999 998 8989789 543563634 87676 Active