MC078
- Trang Riley (Unlicensed)
Owned by Trang Riley (Unlicensed)
Jul 31 2019
1 min read
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Data Element | Billing Provider Last Name or Organization Name |
---|---|
Description | Billing provider last name. If not an individual, place organization name in this field. |
Type | Text |
Format | varchar |
Length | 100 |
Threshold | 100% |
Required | Required |
Tip / Notes | |
Rank | 097 |