Individual Professional Information |
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NPI
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1013132323
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Unique healthcare provider (clinician) ID assigned by NPPES
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PECOS UID
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0749446573
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Unique individual clinician ID assigned by PECOS
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Professional Enrollment ID
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I20120724000353
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Unique ID for the individual professional enrollment that is the source for the data in the observation
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Provider Last Name
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FOREMAN
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Individual professional last name
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Provider First Name
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ADAM
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Individual professional first name
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Provider Middle Name
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NEIL
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Individual professional middle name
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Provider Gender
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M
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The provider's gender if the provider is a person.
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Hospital(s) Affiliation Information |
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Hospital Affiliation CCN 1
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190002
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Medicare CCN of hospital where individual professional provides service 1
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Hospital Affiliation LBN 1
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LAFAYETTE GENERAL MEDICAL CENTER
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Legal business name of hospital where individual professional provides service 1
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Hospital Affiliation CCN 2
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191302
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Medicare CCN of hospital where individual professional provides service 2
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Hospital Affiliation LBN 2
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ST MARTIN HOSPITAL
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Legal business name of hospital where individual professional provides service 2
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Hospital Affiliation CCN 3
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180088
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Medicare CCN of hospital where individual professional provides service 3
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Hospital Affiliation LBN 3
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NORTON HOSPITALS, INC
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Legal business name of hospital where individual professional provides service 3
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Hospital Affiliation CCN 4
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190006
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Medicare CCN of hospital where individual professional provides service 4
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Hospital Affiliation LBN 4
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UNIVERSITY HOSPITAL & CLINICS
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Legal business name of hospital where individual professional provides service 4
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Hospital Affiliation CCN 5
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190044
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Medicare CCN of hospital where individual professional provides service 5
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Hospital Affiliation LBN 5
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ACADIA GENERAL HOSPITAL
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Legal business name of hospital where individual professional provides service 5
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Professional Accepts Medicare Assignment
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Y
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