Module Assign NameStore TupleLoad Str Str Str Str Str Str Str Assign NameStore TupleLoad Str Str Str Str Str Str Str Str Assign NameStore TupleLoad Str Str Str Str Str Str Str Str Assign NameStore TupleLoad Str Str Str Str Str Str Str Str Str Str Str Str Assign NameStore TupleLoad Str Str Str Str Str Str Assign NameStore TupleLoad Str Str Str Str Assign NameStore TupleLoad Str Str Str Str Str Assign NameStore TupleLoad Str Str Str Str Assign NameStore TupleLoad Str Str Str Str Str Str Assign NameStore TupleLoad Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Assign NameStore TupleLoad Str Str Str Str Str Str Str Str Str Assign NameStore TupleLoad Str Str Str Assign NameStore TupleLoad Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Assign NameStore TupleLoad Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str Str
N/A N/A AFFILIATION_PURPOSE N/A HIE-EXCHANGE MEDICARE-NETWORK MEDICAID-NETWORK PRIVATE-PAYER-NETWORK ACO-NETWORK DOMAIN PARENT-ORGANIZATION N/A AFFILIATION_DATA_TYPE N/A NPI-1 NPI-2 HPID OEID MAC EIN PAC-ID OTHER N/A ENDPOINT_DATA_TYPE N/A DIRECT-EMAIL-ADDRESS REGULAR-EMAIL-ADDRESS SOAP-WS-URL CONNECT-URL FHIR-URL RESTFUL-WS-URL WEBSITE-URL OTHER-URL N/A SUFFIX_CHOICES N/A Jr. Sr. I II III IV V VI VII VIII IX X N/A PREFIX_CHOICES N/A Ms. Mr. Miss Mrs. Dr. Prof. N/A INDIVIDUAL_OTHER_NAME_CHOICES N/A 1 2 5 N/A SOLE_PROPRIETOR_OTHER_NAME_CHOICES N/A 1 2 3 5 N/A ORGANIZATION_OTHER_NAME_CHOICES N/A 3 4 5 N/A OTHER_NAME_CHOICES N/A 1 2 3 4 5 N/A LICENSE_TYPE_CODES N/A AK-APN AK-CNA AK-CNM AK-CNS AK-DCH AK-DEN AK-DOS AK-DPM AK-DVM AK-MDR AK-MWF AK-NPR AK-ODR AK-PAS AK-RPH AK-UNK AL-APN AL-CNA AL-CNM AL-CNS AL-DCH AL-DEN AL-DOS AL-DPM AL-DVM AL-MDR AL-MWF AL-NPR AL-ODR AL-PAS AL-RPH AL-UNK AR-APN AR-CNA AR-CNM AR-CNS AR-DCH AR-DEN AR-DOS AR-DPM AR-DVM AR-MDR AR-MWF AR-NPR AR-ODR AR-PAS AR-RPH AR-UNK AS-UNK AZ-APN AZ-CNA AZ-CNM AZ-CNS AZ-DCH AZ-DEN AZ-DOS AZ-DPM AZ-DVM AZ-MDR AZ-MWF AZ-NPR AZ-ODR AZ-PAS AZ-RPH AZ-UNK CA-APN CA-CNA CA-CNM CA-CNS CA-DCH CA-DEN CA-DOS CA-DPM CA-DVM CA-MDR CA-MWF CA-NPR CA-ODR CA-PAS CA-RPH CA-UNK CO-APN CO-CNA CO-CNM CO-CNS CO-DCH CO-DEN CO-DOS CO-DPM CO-DVM CO-MDR CO-MDU CO-MWF CO-NPR CO-ODR CO-PAS CO-RPH CO-UNK CT-APN CT-CNA CT-CNM CT-CNS CT-DCH CT-DEN CT-DOS CT-DPM CT-DVM CT-MDR CT-MWF CT-NPR CT-ODR CT-PAS CT-RPH CT-UNK DC-APN DC-CNA DC-CNM DC-CNS DC-DCH DC-DEN DC-DOS DC-DPM DC-DVM DC-MDR DC-MWF DC-NPR DC-ODR DC-PAS DC-RPH DC-UNK DE-APN DE-CNA DE-CNM DE-CNS DE-DCH DE-DEN DE-DOS DE-DPM DE-DVM DE-MDR DE-MWF DE-NPR DE-ODR DE-PAS DE-RPH DE-UNK FL-APN FL-CNA FL-CNM FL-CNS FL-DCH FL-DEN FL-DOS FL-DPM FL-DVM FL-MDR FL-MWF FL-NPR FL-ODR FL-PAS FL-RPH FL-UNK FM-UNK GA-APN GA-CNA GA-CNM GA-CNS GA-DCH GA-DEN GA-DOS GA-DPM GA-DVM GA-MDR GA-MWF GA-NPR GA-ODR GA-PAS GA-RPH GA-UNK GU-UNK HI-APN HI-CNA HI-CNM HI-CNS HI-DCH HI-DEN HI-DOS HI-DPM HI-DVM HI-MDR HI-MWF HI-NPR HI-ODR HI-PAS HI-RPH HI-UNK IA-APN IA-CNA IA-CNM IA-CNS IA-DCH IA-DEN IA-DOS IA-DPM IA-DVM IA-MDR IA-MWF IA-NPR IA-ODR IA-PAS IA-RPH IA-UNK ID-APN ID-CNA ID-CNM ID-CNS ID-DCH ID-DEN ID-DOS ID-DPM ID-DVM ID-MDR ID-MWF ID-NPR ID-ODR ID-PAS ID-RPH ID-UNK IL-APN IL-CNA IL-CNM IL-CNS IL-DCH IL-DEN IL-DOS IL-DPM IL-DVM IL-MDR IL-MWF IL-NPR IL-ODR IL-PAS IL-RPH IL-UNK IN-APN IN-CNA IN-CNM IN-CNS IN-DCH IN-DEN IN-DOS IN-DPM IN-DVM IN-MDR IN-MWF IN-NPR IN-ODR IN-PAS IN-RPH IN-UNK KS-APN KS-CNA KS-CNM KS-CNS KS-DCH KS-DEN KS-DOS KS-DPM KS-DVM KS-MDR KS-MWF KS-NPR KS-ODR KS-PAS KS-RPH KS-UNK KY-APN KY-CNA KY-CNM KY-CNS KY-DCH KY-DEN KY-DOS KY-DPM KY-DVM KY-MDR KY-MWF KY-NPR KY-ODR KY-PAS KY-RPH KY-UNK LA-APN LA-CNA LA-CNM LA-CNS LA-DCH LA-DEN LA-DOS LA-DPM LA-DVM LA-MDR LA-MWF LA-NPR LA-ODR LA-PAS LA-RPH LA-UNK MA-APN MA-CNA MA-CNM MA-CNS MA-DCH MA-DEN MA-DOS MA-DPM MA-DVM MA-MDR MA-MWF MA-NPR MA-ODR MA-PAS MA-RPH MA-UNK MD-APN MD-CNA MD-CNM MD-CNS MD-DCH MD-DEN MD-DOS MD-DPM MD-DVM MD-MDR MD-MWF MD-NPR MD-ODR MD-PAS MD-RPH MD-UNK ME-APN ME-CNA ME-CNM ME-CNS ME-DCH ME-DEN ME-DOS ME-DPM ME-DVM ME-MDR ME-MWF ME-NPR ME-ODR ME-PAS ME-RPH ME-UNK MH-UNK MI-APN MI-CNA MI-CNM MI-NPR MI-ODR MI-PAS MI-RPH MI-UNK MN-APN MN-CNA MN-CNM MN-CNS MN-DCH MN-DEN MN-DOS MN-DPM MN-DVM MN-MDR MN-MWF MN-NPR MN-ODR MN-PAS MN-RPH MN-UNK MO-APN MO-CNA MO-CNM MO-CNS MO-DCH MO-DEN MO-DOS MO-DPM MO-DVM MO-MDR MO-MWF MO-NPR MO-ODR MO-PAS MO-RPH MO-UNK MP-UNK MS-APN MS-CNA MS-CNM MS-CNS MS-DCH MS-DEN MS-DOS MS-DPM MS-DVM MS-MDR MS-MWF MS-NPR MS-ODR MS-PAS MS-RPH MS-UNK MT-APN MT-CNA MT-CNM MT-CNS MT-DCH MT-DEN MT-DOS MT-DPM MT-DVM MT-MDR MT-MWF MT-NPR MT-ODR MT-PAS MT-RPH MT-UNK NC-APN NC-CNA NC-CNM NC-CNS NC-DCH NC-DEN NC-DOS NC-DPM NC-DVM NC-MDR NC-MWF NC-NPR NC-ODR NC-PAS NC-RPH NC-UNK ND-APN ND-CNA ND-CNM ND-CNS ND-DCH ND-DEN ND-DOS ND-DPM ND-DVM ND-MDR ND-MWF ND-NPR ND-ODR ND-PAS ND-RPH ND-UNK NE-APN NE-CNA NE-CNM NE-CNS NE-DCH NE-DEN NE-DOS NE-DPM NE-DVM NE-MDR NE-MWF NE-NPR NE-ODR NE-PAS NE-RPH NE-UNK NH-APN NH-CNA NH-CNM NH-CNS NH-DCH NH-DEN NH-DOS NH-DPM NH-DVM NH-MDR NH-MWF NH-NPR NH-ODR NH-PAS NH-RPH NH-UNK NJ-APN NJ-CNA NJ-CNM NJ-CNS NJ-DCH NJ-DEN NJ-DOS NJ-DPM NJ-DVM NJ-MDR NJ-MWF NJ-NPR NJ-ODR NJ-PAS NJ-RPH NJ-UNK NM-APN NM-CNA NM-CNM NM-CNS NM-DCH NM-DEN NM-DOS NM-DPM NM-DVM NM-MDR NM-MWF NM-NPR NM-ODR NM-PAS NM-RPH NM-UNK NV-APN NV-CNA NV-CNM NV-CNS NV-DCH NV-DEN NV-DOS NV-DPM NV-DVM NV-MDR NV-MWF NV-NPR NV-ODR NV-PAS NV-RPH NV-UNK NY-APN NY-CNA NY-CNM NY-CNS NY-DCH NY-DEN NY-DPM NY-DVM NY-MDU NY-MWF NY-NPR NY-ODR NY-PAS NY-RPH NY-UNK OH-APN OH-CNA OH-CNM OH-CNS OH-DCH OH-DEN OH-DOS OH-DPM OH-DVM OH-MDR OH-MWF OH-NPR OH-ODR OH-PAS OH-RPH OH-UNK OK-APN OK-CNA OK-CNM OK-CNS OK-DCH OK-DEN OK-DOS OK-DPM OK-DVM OK-MDR OK-MWF OK-NPR OK-ODR OK-PAS OK-RPH OK-UNK OR-APN OR-CNA OR-CNM OR-CNS OR-DCH OR-DEN OR-DOS OR-DPM OR-DVM OR-MDR OR-MWF OR-NPR OR-ODR OR-PAS OR-RPH OR-UNK PA-APN PA-CNA PA-CNM PA-CNS PA-DCH PA-DEN PA-DOS PA-DPM PA-DVM PA-MDR PA-MWF PA-NPR PA-ODR PA-PAS PA-RPH PA-UNK PR-APN PR-CNA PR-CNM PR-CNS PR-DCH PR-DEN PR-DPM PR-DVM PR-MDU PR-MWF PR-NPR PR-ODR PR-PAS PR-RPH PR-UNK PW-UNK RI-APN RI-CNA RI-CNM RI-CNS RI-DCH RI-DEN RI-DOS RI-DPM RI-DVM RI-MDR RI-MWF RI-NPR RI-ODR RI-PAS RI-RPH RI-UNK SC-APN SC-CNA SC-CNM SC-CNS SC-DCH SC-DEN SC-DOS SC-DPM SC-DVM SC-MDR SC-MWF SC-NPR SC-ODR SC-PAS SC-RPH SC-UNK SD-APN SD-CNA SD-CNM SD-CNS SD-DCH SD-DEN SD-DOS SD-DPM SD-DVM SD-MDR SD-MWF SD-NPR SD-ODR SD-PAS SD-RPH SD-UNK TN-APN TN-CNA TN-CNM TN-CNS TN-DCH TN-DEN TN-DOS TN-DPM TN-DVM TN-MDR TN-MWF TN-NPR TN-ODR TN-PAS TN-RPH TN-UNK TX-APN TX-CNA TX-CNM TX-CNS TX-DCH TX-DEN TX-DOS TX-DPM TX-DVM TX-MDR TX-MWF TX-NPR TX-ODR TX-PAS TX-RPH TX-UNK UT-APN UT-CNA UT-CNM UT-CNS UT-DCH UT-DEN UT-DOS UT-DPM UT-DVM UT-MDR UT-MWF UT-NPR UT-ODR UT-PAS UT-RPH UT-UNK VA-APN VA-CNA VA-CNM VA-CNS VA-DCH VA-DEN VA-DOS VA-DPM VA-DVM VA-MDR VA-MWF VA-NPR VA-ODR VA-PAS VA-RPH VA-UNK VI-APN VI-CNA VI-CNM VI-CNS VI-DCH VI-DEN VI-DOS VI-DPM VI-DVM VI-MDR VI-MWF VI-NPR VI-ODR VI-PAS VI-RPH VI-UNK VT-APN VT-CNA VT-CNM VT-CNS VT-DCH VT-DEN VT-DOS VT-DPM VT-DVM VT-MDR VT-MWF VT-NPR VT-ODR VT-PAS VT-RPH VT-UNK WA-APN WA-CNA WA-CNM WA-CNS WA-DCH WA-DEN WA-DOS WA-DPM WA-DVM WA-MDR WA-MWF WA-NPR WA-ODR WA-PAS WA-RPH WA-UNK WI-APN WI-CNA WI-CNM WI-CNS WI-DCH WI-DEN WI-DOS WI-DPM WI-DVM WI-MDR WI-MWF WI-NPR WI-ODR WI-PAS WI-RPH WI-UNK WV-APN WV-CNA WV-CNM WV-CNS WV-DCH WV-DEN WV-DOS WV-DPM WV-DVM WV-MDR WV-MWF WV-NPR WV-ODR WV-PAS WV-RPH WV-UNK WY-APN WY-CNA WY-CNM WY-CNS WY-DCH WY-DEN N/A ADDRESS_PURPOSE N/A LOCATION MAILING MEDREC-STORAGE 1099 REVALIDATION ADDITIONAL-LOCATION REMITTANCE TELEMEDICINE ADDITIONAL-DOCUMENTATION-REQUESTS N/A ADDRESS_TYPE N/A DOM MIL FGN N/A STATES N/A AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AS FM GU MH MP PR PW VI ZZ N/A COUNTRIES N/A AF AX AL DZ AS AD AO AI AQ AG AR AM AW AU AT AZ BS BH BD BB BY BE BZ BJ BM BT BO BQ BA BW BV BR IO BN BG BF BI KH CM CA CV KY CF TD CL CN CX CC CO KM CG CD CK CR CI HR CU CW CY CZ DK DJ DM DO EC EG SV GQ ER EE ET FK FO FJ FI FR GF PF TF GA GM GE DE GH GI GR GL GD GP GU GT GG GN GW GY HT HM VA HN HK HU IS IN ID IR IQ IE IM IL IT JM JP JE JO KZ KE KI KP KR KW KG LA LV LB LS LR LY LI LT LU MO MK MG MW MY MV ML MT MH MQ MR MU YT MX FM MD MC MN ME MS MA MZ MM NA NR NP NL NC NZ NI NE NG NU NF MP NO OM PK PW PS PA PG PY PE PH PN PL PT PR QA RE RO RU RW BL SH KN LC MF PM VC WS SM ST SA SN RS SC SL SG SX SK SI SB SO ZA GS SS ES LK SD SR SJ SZ SE CH SY TW TJ TZ TH TL TG TK TO TT TN TR TM TC TV UG UA AE GB US UM UY UZ VU VE VN VG VI WF EH YE ZM ZW