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Physician Records
Physician Last Name
Physician First Name
Physician Middle Name
License Number
License Type
Effective Date
Date Updated
Year of Birth
Divito
Michael
V
005032
PA
12/08/1998
1970
Famolaro
John
003401
PA
07/10/1996
Faulknor
Hervel
000361
PA
07/05/1994
Engelberg
Steven
005623
PA
01/05/2001
1955
Daniels
Frank
A
004227
PA
07/09/1999
1958
Danke
Peter
John
004909
PA
04/25/2001
1966
Dawson
John
000230
PA
03/21/1994
Claire
Mitchell
D
002410
PA
05/12/1998
1954
Coderre
John
D
000263
PA
12/27/1996
Cabrera
Juan
003276
PA
11/13/1997
Bush
Jerry
000239
PA
07/01/1994
Boyadjian
Vahe
003762
PA
09/14/1994
Bristol
Marcel
002892
PA
09/02/1994
Brink
Garth
F
000257
PA
02/11/2000
1931
Barreto
Luis
L
000436
PA
07/14/2000
1943
Carmoney
Terry
R
003678
PA
01/21/1993
Benjamin
Alexis
003420
PA
02/03/1999
1958
Anthony
Jerry
B
001270
PA
10/04/1996
Andres
Martha
004656
PA
02/26/1998
1949
Allen
Lincoln
Darius
000366
PA
10/19/1990
1951
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