Individual Professional Information |
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NPI
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1124035712
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Unique healthcare provider (clinician) ID assigned by NPPES
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PECOS UID
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7214006790
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Unique individual clinician ID assigned by PECOS
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Professional Enrollment ID
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I20100727000344
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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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LLOYD
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Individual professional last name
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Provider First Name
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JOHN
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Individual professional first name
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Provider Middle Name
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M
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Individual professional middle name
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Provider Name Suffix Text
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III
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The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
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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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450674
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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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WOMANS HOSPITAL OF TEXAS,THE
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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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450775
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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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KINGWOOD MEDICAL CENTER
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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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670106
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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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PEARLAND MEDICAL CENTER
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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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450072
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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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CHI ST. LUKES' BRAZOSPORT HOSPITAL
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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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450068
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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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MEMORIAL HERMANN - TEXAS MEDICAL CENTER
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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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M
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