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For Providers:
Base Data—contains these fields: NPI, First Name, Middle Name, Last Name, Gender, Suffix, Title, Specialty, Sub Specialty, Sub Sub Specialty, Inbound Referral Total, Outbound Referral Total and any Federal Exclusions.
For Facilities/Organizations:
Base Data—contains these fields: NPI, Name, Authorized Official First Name, Authorized Official Last Name, Specialty, Sub Specialty, Sub Sub Specialty, Inbound Referral Total, Outbound Referral Total and any Federal Exclusions.
All:
Physicical Address—contains these fields: Address 1, Address 2, City, County, State, Zip, Latitude, and Longitude.
Mailing Address—contains these fields: Address 1, Address 2, City, County, State, Zip, Latitude, and Longitude.
Phone—contains this field: Phone.
Facilities/Organizations: —contains this field: Phone, Authorized Official Phone.
Fax—contains this field: Fax.