| Name | Description | Type | Additional information |
|---|---|---|---|
| Provider_Number | string |
None. |
|
| NPI | string |
None. |
|
| FirstName | string |
None. |
|
| MiddleName | string |
None. |
|
| LastName | string |
None. |
|
| WorkPhoneNumber | string |
None. |
|
| HomePhoneNumber | string |
None. |
|
| DisplayName | string |
None. |
|
| Specialty | string |
None. |
|
| PostalAddressLine1 | string |
None. |
|
| PostalAddressLine2 | string |
None. |
|
| PostalAddressCity | string |
None. |
|
| PostalAddressState | string |
None. |
|
| PostalAddressZipCode | string |
None. |
|
| Participante_85 | string |
None. |
|
| Participante_79 | string |
None. |
|
| result | integer |
None. |
|
| message | string |
None. |