Medical School Information |
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Medical School Name
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OTHER
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Individual professional's medical school
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Graduation Year
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2010
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Individual professional's medical school graduation year
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Primary Specialty
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ANESTHESIOLOGY
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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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CRITICAL CARE (INTENSIVISTS)
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First secondary medical specialty reported by the individual professional in the selected enrollment
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All Secondary Specialties
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CRITICAL CARE (INTENSIVISTS)
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All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas
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Hospital(s) Affiliation Information |
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Hospital Affiliation CCN 1
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290039
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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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MOUNTAINVIEW HOSPITAL
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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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290005
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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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NORTH VISTA 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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290046
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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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SPRING VALLEY HOSPITAL MEDICAL CENTER
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Legal business name of hospital where individual professional provides service 3
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Professional Accepts Medicare Assignment
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Y
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