Individual Professional Information |
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NPI
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1962614552
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Unique healthcare provider (clinician) ID assigned by NPPES
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PECOS UID
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5799872859
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Unique individual clinician ID assigned by PECOS
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Professional Enrollment ID
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I20160112000450
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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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DUFFY
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Individual professional last name
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Provider First Name
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JAMIRA
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Individual professional first name
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Provider Middle Name
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N
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Individual professional middle name
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Provider Gender
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F
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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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UNIV OF PITTSBURGH SCHOOL OF DENTAL MEDICINE
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Individual professional's medical school
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Graduation Year
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2004
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Individual professional's medical school graduation year
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Primary Specialty
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FAMILY MEDICINE
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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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GENERAL PRACTICE
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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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GERIATRIC MEDICINE
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Second secondary medical specialty reported by the individual professional in the selected enrollment
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Secondary Specialty 3
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HOSPICE/PALLIATIVE CARE
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Third secondary medical specialty reported by the individual professional in the selected enrollment
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Secondary Specialty 4
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INTERNAL MEDICINE
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Fourth secondary medical specialty reported by the individual professional in the selected enrollment
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All Secondary Specialties
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GENERAL PRACTICE, GERIATRIC MEDICINE, HOSPICE/PALLIATIVE CARE, INTERNAL 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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