Tax ID:
|
{{billingProviderInfo?.taxIdNumber || '\u2013\u2013\u2013'}}
|
Vendor:
|
{{billingProviderInfo?.name || '\u2013\u2013\u2013'}}
|
Address 1:
|
{{billingProviderInfo?.addressLineOne || '\u2013\u2013\u2013'}}
|
Address 2:
|
{{billingProviderInfo?.addressLineTwo || '\u2013\u2013\u2013'}}
|
City:
|
{{billingProviderInfo?.city || '\u2013\u2013\u2013'}}
|
State:
|
{{billingProviderInfo?.state || '\u2013\u2013\u2013'}}
|
ZIP Code:
|
{{billingProviderInfo?.postalCode || '\u2013\u2013\u2013'}}
|
Country:
|
{{billingProviderInfo?.country || '\u2013\u2013\u2013'}}
|
NPI:
|
{{billingProviderInfo?.npi || '\u2013\u2013\u2013'}}
|
Taxonomy Code:
|
{{billingProviderInfo?.billingVendorTaxonomyCode || '\u2013\u2013\u2013'}}
|