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| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | CIF Build 5 Sprint 4.zip\CIF B5S4\VA.PPMS.IntegrationWebService.zip\VA.PPMS.IntegrationWebService\VA.PPMS.ProviderData\Test\Insert | 2.InsertFull.xml | Wed Jan 17 22:52:46 2018 UTC |
| 2 | CIF Build 5 Sprint 4.zip\CIF B5S4\VA.PPMS.IntegrationWebService.zip\VA.PPMS.IntegrationWebService\VA.PPMS.ProviderData\Test\Insert | 2.InsertFull.xml | Tue Jan 23 13:56:34 2018 UTC |
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| Character case | Differences in character case are significant |
| Line endings | Differences in line endings (CR and LF characters) are ignored |
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| 1 | <?xml | |
| 2 | version="1 .0" | |
| 3 | ?> | |
| 4 | <p:Provide rs | |
| 5 | xmlns:p="h ttps://ppm s. DNS /exchange/ ccn/1.0" | |
| 6 | > | |
| 7 | ||
| 8 | <Transacti onId> | |
| 9 | 478520D9-4 DA0-4746-9 2CF-5A4314 8F6616 | |
| 10 | </Transact ionId> | |
| 11 | ||
| 12 | <NetworkId > | |
| 13 | 9A23DDBF-F 6BB-E611-8 100-1458D0 4E8FF8 | |
| 14 | </NetworkI d> | |
| 15 | ||
| 16 | <Provider> | |
| 17 | ||
| 18 | <Correlati onId> | |
| 19 | </Correlat ionId> | |
| 20 | ||
| 21 | <Transacti onType> | |
| 22 | Insert | |
| 23 | </Transact ionType> | |
| 24 | ||
| 25 | <ProviderN ame> | |
| 26 | Mapper Acm e Full | |
| 27 | </Provider Name> | |
| 28 | ||
| 29 | <ProviderT ype> | |
| 30 | Individual | |
| 31 | </Provider Type> | |
| 32 | ||
| 33 | <ProviderI d> | |
| 34 | B43891 | |
| 35 | </Provider Id> | |
| 36 | ||
| 37 | <Email> | |
| 38 | mapperfull @acme.com | |
| 39 | </Email> | |
| 40 | ||
| 41 | <Phone> | |
| 42 | 713-555-12 34 | |
| 43 | </Phone> | |
| 44 | ||
| 45 | <Fax> | |
| 46 | 281-555-33 33 | |
| 47 | </Fax> | |
| 48 | ||
| 49 | <Ethnicity > | |
| 50 | Unknown | |
| 51 | </Ethnicit y> | |
| 52 | ||
| 53 | <Religion> | |
| 54 | Lutheran | |
| 55 | </Religion > | |
| 56 | ||
| 57 | <HealthPro viderType> | |
| 58 | Home Healt h Care | |
| 59 | </HealthPr oviderType > | |
| 60 | ||
| 61 | <IsAccepti ngNewPatie nts> | |
| 62 | true | |
| 63 | </IsAccept ingNewPati ents> | |
| 64 | ||
| 65 | <IsPrimary CareProvid erAcceptin gVa> | |
| 66 | true | |
| 67 | </IsPrimar yCareProvi derAccepti ngVa> | |
| 68 | ||
| 69 | <Licensure s> | |
| 70 | ||
| 71 | <Item> | |
| 72 | ||
| 73 | <LicenseNu mber> | |
| 74 | 28791 | |
| 75 | </LicenseN umber> | |
| 76 | ||
| 77 | <Licensing State> | |
| 78 | TX | |
| 79 | </Licensin gState> | |
| 80 | ||
| 81 | <Expiratio nDate> | |
| 82 | 2018-01-01 | |
| 83 | </Expirati onDate> | |
| 84 | ||
| 85 | </Item> | |
| 86 | ||
| 87 | </Licensur es> | |
| 88 | ||
| 89 | <Npis> | |
| 90 | ||
| 91 | <Item> | |
| 92 | ||
| 93 | <Number> | |
| 94 | 123456789 | |
| 95 | </Number> | |
| 96 | ||
| 97 | <EntityTyp eCode> | |
| 98 | 1-Individu al | |
| 99 | </EntityTy peCode> | |
| 100 | ||
| 101 | <SolePropr ieter> | |
| 102 | Y | |
| 103 | </SoleProp rieter> | |
| 104 | ||
| 105 | </Item> | |
| 106 | ||
| 107 | </Npis> | |
| 108 | ||
| 109 | <OtherIden tifiers> | |
| 110 | ||
| 111 | <Item> | |
| 112 | ||
| 113 | <Name> | |
| 114 | 444661122 | |
| 115 | </Name> | |
| 116 | ||
| 117 | <Identifie rTypeCode> | |
| 118 | Tax Identi fication N umber | |
| 119 | </Identifi erTypeCode > | |
| 120 | ||
| 121 | <Identifie rState> | |
| 122 | CO | |
| 123 | </Identifi erState> | |
| 124 | ||
| 125 | <Identifie rIssuer> | |
| 126 | SSN Office | |
| 127 | </Identifi erIssuer> | |
| 128 | ||
| 129 | </Item> | |
| 130 | ||
| 131 | </OtherIde ntifiers> | |
| 132 | ||
| 133 | <ProviderC redentials > | |
| 134 | ||
| 135 | <Item> | |
| 136 | ||
| 137 | <Name> | |
| 138 | Mapper Doc Auth | |
| 139 | </Name> | |
| 140 | ||
| 141 | <Credentia lNumber> | |
| 142 | 32178 | |
| 143 | </Credenti alNumber> | |
| 144 | ||
| 145 | <Credentia lType> | |
| 146 | Primary | |
| 147 | </Credenti alType> | |
| 148 | ||
| 149 | <Credentia lingStatus > | |
| 150 | Active | |
| 151 | </Credenti alingStatu s> | |
| 152 | ||
| 153 | <Credentia ledDate> | |
| 154 | 2017-01-01 | |
| 155 | </Credenti aledDate> | |
| 156 | ||
| 157 | <Descripti on> | |
| 158 | Test crede ntial | |
| 159 | </Descript ion> | |
| 160 | ||
| 161 | </Item> | |
| 162 | ||
| 163 | </Provider Credential s> | |
| 164 | ||
| 165 | <ProviderS ervices> | |
| 166 | ||
| 167 | <Item> | |
| 168 | ||
| 169 | <Correlati onId> | |
| 170 | C7BEBE0B-B AB6-488C-9 16D-8641A5 819BA6 | |
| 171 | </Correlat ionId> | |
| 172 | ||
| 173 | <CodedSpec ialty> | |
| 174 | 207ND0900X | |
| 175 | </CodedSpe cialty> | |
| 176 | ||
| 177 | <Location> | |
| 178 | ||
| 179 | <Correlati onId> | |
| 180 | C016FB97-B 365-4D10-B 769-354DB7 1B0CA7 | |
| 181 | </Correlat ionId> | |
| 182 | ||
| 183 | <!--<SiteA ddress> | |
| 184 | <Address 1>762 Sout h Main</Ad dress1> | |
| 185 | <Address 2>Suite 20 50</Addres s2> | |
| 186 | <City>Ho uston</Cit y> | |
| 187 | <State>T X</State> | |
| 188 | <PostalC ode>77001< /PostalCod e> | |
| 189 | <County> Harris</Co unty> | |
| 190 | <Country Code>US</C ountryCode > | |
| 191 | </SiteAddr ess> | |
| 192 | <SiteType> Facility</ SiteType> | |
| 193 | <OtherName >Mapper Me dical Clin ic</OtherN ame> | |
| 194 | <IsHandica pAccessibl e>true</Is HandicapAc cessible>- -> | |
| 195 | ||
| 196 | </Location > | |
| 197 | ||
| 198 | <Organizat ionNpi> | |
| 199 | 2840902043 | |
| 200 | </Organiza tionNpi> | |
| 201 | ||
| 202 | </Item> | |
| 203 | ||
| 204 | </Provider Services> | |
| 205 | ||
| 206 | <Specialti es> | |
| 207 | ||
| 208 | <Item> | |
| 209 | ||
| 210 | <CodedSpec ialty> | |
| 211 | 207RI0001X | |
| 212 | </CodedSpe cialty> | |
| 213 | ||
| 214 | <IsPrimary Taxonomy> | |
| 215 | false | |
| 216 | </IsPrimar yTaxonomy> | |
| 217 | ||
| 218 | </Item> | |
| 219 | ||
| 220 | <Item> | |
| 221 | ||
| 222 | <CodedSpec ialty> | |
| 223 | 207RC0001X | |
| 224 | </CodedSpe cialty> | |
| 225 | ||
| 226 | <IsPrimary Taxonomy> | |
| 227 | false | |
| 228 | </IsPrimar yTaxonomy> | |
| 229 | ||
| 230 | </Item> | |
| 231 | ||
| 232 | <Item> | |
| 233 | ||
| 234 | <CodedSpec ialty> | |
| 235 | 207ND0900X | |
| 236 | </CodedSpe cialty> | |
| 237 | ||
| 238 | <IsPrimary Taxonomy> | |
| 239 | true | |
| 240 | </IsPrimar yTaxonomy> | |
| 241 | ||
| 242 | </Item> | |
| 243 | ||
| 244 | </Specialt ies> | |
| 245 | ||
| 246 | <BoardCert ifications > | |
| 247 | ||
| 248 | <Item> | |
| 249 | ||
| 250 | <Name> | |
| 251 | Cardiology | |
| 252 | </Name> | |
| 253 | ||
| 254 | <BoardId> | |
| 255 | 87692 | |
| 256 | </BoardId> | |
| 257 | ||
| 258 | <Certifica tionDate> | |
| 259 | 2014-06-01 | |
| 260 | </Certific ationDate> | |
| 261 | ||
| 262 | </Item> | |
| 263 | ||
| 264 | </BoardCer tification s> | |
| 265 | ||
| 266 | <DeaNumber s> | |
| 267 | ||
| 268 | <Item> | |
| 269 | ||
| 270 | <DeaNumber > | |
| 271 | 0983291 | |
| 272 | </DeaNumbe r> | |
| 273 | ||
| 274 | <Expiratio nDate> | |
| 275 | 2018-01-01 | |
| 276 | </Expirati onDate> | |
| 277 | ||
| 278 | <HasSchedu leIi> | |
| 279 | true | |
| 280 | </HasSched uleIi> | |
| 281 | ||
| 282 | <HasSchedu leIiNonNar cotic> | |
| 283 | true | |
| 284 | </HasSched uleIiNonNa rcotic> | |
| 285 | ||
| 286 | <HasSchedu leIii> | |
| 287 | false | |
| 288 | </HasSched uleIii> | |
| 289 | ||
| 290 | <HasSchedu leIiiNonNa rcotic> | |
| 291 | false | |
| 292 | </HasSched uleIiiNonN arcotic> | |
| 293 | ||
| 294 | <HasSchedu leIv> | |
| 295 | false | |
| 296 | </HasSched uleIv> | |
| 297 | ||
| 298 | <HasSchedu leV> | |
| 299 | false | |
| 300 | </HasSched uleV> | |
| 301 | ||
| 302 | </Item> | |
| 303 | ||
| 304 | </DeaNumbe rs> | |
| 305 | ||
| 306 | <MedicalEd ucations> | |
| 307 | ||
| 308 | <Item> | |
| 309 | ||
| 310 | <Name> | |
| 311 | UTMB | |
| 312 | </Name> | |
| 313 | ||
| 314 | <Graduatio nDate> | |
| 315 | 1990-05-23 | |
| 316 | </Graduati onDate> | |
| 317 | ||
| 318 | </Item> | |
| 319 | ||
| 320 | </MedicalE ducations> | |
| 321 | ||
| 322 | <Contacts> | |
| 323 | ||
| 324 | <Item> | |
| 325 | ||
| 326 | <Correlati onId> | |
| 327 | </Correlat ionId> | |
| 328 | ||
| 329 | <FirstName > | |
| 330 | Moxi | |
| 331 | </FirstNam e> | |
| 332 | ||
| 333 | <MiddleNam e> | |
| 334 | K | |
| 335 | </MiddleNa me> | |
| 336 | ||
| 337 | <LastName> | |
| 338 | Nox | |
| 339 | </LastName > | |
| 340 | ||
| 341 | <Addresses > | |
| 342 | ||
| 343 | <Item> | |
| 344 | ||
| 345 | <Address1> | |
| 346 | 456 South St. | |
| 347 | </Address1 > | |
| 348 | ||
| 349 | <City> | |
| 350 | Houston | |
| 351 | </City> | |
| 352 | ||
| 353 | <State> | |
| 354 | TX | |
| 355 | </State> | |
| 356 | ||
| 357 | <PostalCod e> | |
| 358 | 77003 | |
| 359 | </PostalCo de> | |
| 360 | ||
| 361 | <County> | |
| 362 | Harris | |
| 363 | </County> | |
| 364 | ||
| 365 | <CountryCo de> | |
| 366 | US | |
| 367 | </CountryC ode> | |
| 368 | ||
| 369 | </Item> | |
| 370 | ||
| 371 | </Addresse s> | |
| 372 | ||
| 373 | <Phones> | |
| 374 | ||
| 375 | <Item> | |
| 376 | ||
| 377 | <PhoneNumb er> | |
| 378 | 281-555-12 12 | |
| 379 | </PhoneNum ber> | |
| 380 | ||
| 381 | <IsTexting Acceptable > | |
| 382 | true | |
| 383 | </IsTextin gAcceptabl e> | |
| 384 | ||
| 385 | </Item> | |
| 386 | ||
| 387 | </Phones> | |
| 388 | ||
| 389 | </Item> | |
| 390 | ||
| 391 | </Contacts > | |
| 392 | ||
| 393 | <ProviderO therNames> | |
| 394 | ||
| 395 | <Item> | |
| 396 | ||
| 397 | <Name> | |
| 398 | Mapper Med ical | |
| 399 | </Name> | |
| 400 | ||
| 401 | <OtherName Type> | |
| 402 | Doing Busi ness As | |
| 403 | </OtherNam eType> | |
| 404 | ||
| 405 | <OtherCred ential> | |
| 406 | </OtherCre dential> | |
| 407 | ||
| 408 | </Item> | |
| 409 | ||
| 410 | </Provider OtherNames > | |
| 411 | ||
| 412 | </Provider > | |
| 413 | </p:Provid ers> |
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