Rev | Line | |
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[1004] | 1 | <performer typeCode="PRF">
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| 2 | <assignedEntity>
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| 3 | <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
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| 4 | <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNOMED CT" displayName="Internal Medician Specialist"/>
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| 5 | <addr>
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| 6 | <streetAddressLine>123 Maple Ave</streetAddressLine>
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| 7 | <city>Gaithersburg</city>
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| 8 | <state>MD</state>
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| 9 | <postalCode>20877</postalCode>
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| 10 | </addr>
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| 11 | <assignedPerson>
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| 12 | <name>
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| 13 | <given>Nancy</given>
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| 14 | <family>Anthracite</family>
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| 15 | <suffix>MD</suffix>
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| 16 | </name>
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| 17 | </assignedPerson>
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| 18 | </assignedEntity>
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| 19 | </performer>
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| 20 | </serviceEvent>
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| 21 | </documentationOf>
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