DC018
- Kathleen Hart (Unlicensed)
Owned by Kathleen Hart (Unlicensed)
Aug 02 2019
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Data Element | Service Provider Number |
---|---|
Description | Submitting entity assigned or legacy rendering/attending provider number. |
Type | Text |
Format | varchar |
Length | 30 |
Threshold | 98% |
Required | Required |
Tip / Notes | |
Rank | 020 |