Individual Professional Information |
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NPI
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1760442057
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Unique healthcare provider (clinician) ID assigned by NPPES
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PECOS UID
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7214125764
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Unique individual clinician ID assigned by PECOS
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Professional Enrollment ID
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I20101228000120
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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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GESLANI
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Individual professional last name
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Provider First Name
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RANDOLPH
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Individual professional first name
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Provider Middle Name
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SOLIVEN
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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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