Healthcare Provider Digital Endpoint |
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NPI (National Provider Identifier)
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1902573090
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Endpoint Type
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OTHERS (Other URL)
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Endpoint
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Medicaid
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Endpoint Description
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Medicaid
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Endpoint Affiliation
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N (No, Endpoint is not affiliated with an NPI or EIN)
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Endpoint Affiliation Information |
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Affiliation Legal Business Name
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Affiliation Legal Business Address
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68 Blaydon Loop
West Henrietta NY
14586-9804
US
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Healthcare Provider Digital Endpoint Use |
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Use Code
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DIRECT
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Use Description
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Direct
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Other Use Description
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Healthcare Provider Digital Endpoint Content |
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Content Type
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OTHER
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Content Description
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Other
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Other Content Description
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Private
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