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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth Dixon Duane E. 299525 MD 10/19/2023 10/19/2023 1959 Pemberton Colin A. 299558 MD 03/10/2022 03/04/2022 1975 Washington Sherman 299955 MD 08/31/2021 08/31/2021 1959 Staicu Irina 300704 DO 10/30/2023 10/26/2023 1986 Sharma Mayank 301247 MD 09/26/2022 09/19/2022 1989 Babcock Nita Katherine 301314 MD 07/17/2020 07/10/2020 1954 Hinds Richard Michael 301367 MD 08/17/2022 08/12/2022 1986 Komanduri Mukund 301592 MD 01/31/2024 01/24/2024 1966 Boucree Thaddeus S. 301972 MD 12/12/2023 12/05/2023 1973 Freyer Abhishek 302093 MD 07/22/2021 07/15/2021 1978 Rey Jonathan 302104 MD 08/09/2022 08/02/2022 1965 Zolcik Wojciech 302204 MD 12/05/2023 11/28/2023 1967 Lakowsky Alexander 302379 MD 05/10/2023 05/03/2023 1975 Mamikoglu Bulent 303313 MD 03/17/2023 03/13/2023 1966 Smith Whitaker M. 305209 MD 02/16/2023 02/09/2023 1963 Bentley Keri 305230 MD 05/24/2023 11/06/2023 1972 McFarlane Keri 305230 MD 05/24/2023 11/06/2023 1972 Cheng Zhi A. 305583 MD 04/07/2023 03/31/2023 1989 Riyaz Farhaad R. 306128 MD 08/25/2022 08/22/2022 1987 Feia Andreas 306462 DO 05/31/2024 05/24/2024 1983 [First/Prev] 435,436,437,438,439,440,441,442 [Next/Last]

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