| Data Element | Prescribing Physician License Number |
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| Description | State license number for the provider identified in PC043. For a doctor this is the medical license, for a non-doctor this is the practice license. Do not use zero-fill. If not available, or not applicable , (such as for a group or corporate entity), do not report any value here. |
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| Type | Text |
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| Format | varchar |
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| Length | 30 |
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| Threshold | 0% |
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| Required | Optional |
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| Tip / Notes |
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| Rank | 052 |
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