Hospital(s) Affiliation Information |
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Hospital Affiliation CCN 1
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050414
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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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MERCY HOSPITAL OF FOLSOM
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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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050516
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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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MERCY SAN JUAN MEDICAL CENTER
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Legal business name of hospital where individual professional provides service 2
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Professional Accepts Medicare Assignment
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Y
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