Tax ID|SERVICES|ALLOWED| NPI 580572412|ALL|85% OF BILLED CHARGES|1689744450 580572465|ALL|85% OF BILLED CHARGES|1922178789 10723254|ALL|85% OF BILLED CHARGES |UNK 582201217|ALL|85% OF BILLED CHARGES |UNK 582147112|ALL|85% OF BILLED CHARGES |1659425825 810582607|ALL|85% OF BILLED CHARGES |1740334291 200044124|ALL|85% OF BILLED CHARGES |1437203098 320456470|ALL|85% OF BILLED CHARGES |UNK 320185406|ALL|85% OF BILLED CHARGES |UNK 260833842|ALL|85% OF BILLED CHARGES |1255475091 800863895|ALL|85% OF BILLED CHARGES |1457695488 611665353|ALL|85% OF BILLED CHARGES |1437493467 300853755|ALL|85% OF BILLED CHARGES |UNK 611753346|ALL|85% OF BILLED CHARGES |UNK