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Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified. Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Select Foreign Country in the state drop down box if the license was issued outside of United States.
The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon.
Healthcare Provider Taxonomy Group Description 1. Most Relevant Information Provider Data. Provider Practice Location. Copy Practice Location. Provider Mailing Address. Copy Mailing Address. Authorized Official. Entity Type. Code describing the type of health care provider that is being assigned an NPI. Is Organization Subpart. The "Is the organization a subpart? Provide organization name legal business name used to file tax returns with the IRS.
The first line mailing address of the provider being identified. The second line mailing address of the provider being identified. The City name in the mailing address of the provider being identified. The State or Province name in the mailing address of the provider being identified.
The postal ZIP or zone code in the mailing address of the provider being identified. The country code in the mailing address of the provider being identified. The telephone number associated with mailing address of the provider being identified. The fax number associated with the mailing address of the provider being identified. The first line location address of the provider being identified.
The second line location address of the provider being identified. The city name in the location address of the provider being identified. The State or Province name in the location address of the provider being identified. The postal ZIP or zone code in the location address of the provider being identified. The country code in the location address of the provider being identified. The telephone number associated with the location address of the provider being identified.
The fax number associated with the location address of the provider being identified. Provider Enumeration Date. The date the provider was assigned a unique identifier assigned an NPI. Last Update Date. Authorized Official Last Name. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. Authorized Official First Name. Authorized Official Middle Name.
Authorized Official Title or Position. Authorized Official Credential Text. Enter your password. Joining Blue is a simple 2-step process. First, we need to validate if the Blue Cross Blue Shield Company you are affiliated with is currently participating in the Blue program. Redeem Offer. The Terms Exhaust all covered insurance benefits first. To determine if you have any covered insurance benefits, call customer service at the toll-free number on the back of your member ID card.
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Telephone number to adventist health system | The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI. More info Delete Synchronize. Authorized Official. The country code in the location address of the provider being identified. Other Provider Identifier Issuer highmrak. Check if you are eligible to join today! |
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