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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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