Individual Professional Information |
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NPI
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1669565859
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Unique healthcare provider (clinician) ID assigned by NPPES
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PECOS UID
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3678656469
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Unique individual clinician ID assigned by PECOS
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Professional Enrollment ID
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I20080218000313
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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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RUSCITTO
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Individual professional last name
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Provider First Name
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JEFFREY
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Individual professional first name
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Provider Middle Name
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G
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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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Medical School Information |
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Medical School Name
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PALMER COLLEGE CHIROPRACTIC - DAVENPORT
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Individual professional's medical school
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Graduation Year
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1992
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Individual professional's medical school graduation year
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Primary Specialty
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CHIROPRACTIC
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Primary medical specialty reported by the individual professional in the selected enrollment
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Secondary Specialty 1
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PHYSICAL MEDICINE AND REHABILITATION
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First secondary medical specialty reported by the individual professional in the selected enrollment
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Secondary Specialty 2
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PREVENTATIVE MEDICINE
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Second secondary medical specialty reported by the individual professional in the selected enrollment
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All Secondary Specialties
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PHYSICAL MEDICINE AND REHABILITATION, PREVENTATIVE MEDICINE
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All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas
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