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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
Fifty-eighth Street Medical
P.C.
199255
01/17/2002
01/22/2002
First Medical Services
P.C.
186086
12/19/2006
12/12/2006
Flatbush Medical Services
P.C.
193715
10/18/2001
10/17/2001
Fowler Street Medical
P.C.
186086
12/19/2006
12/12/2006
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