| Rev | Line | |
|---|
| [1004] | 1 | <providerOrganization>
|
|---|
| 2 | <!-- Extension is the NPI for the provider and this is a real number-->
|
|---|
| 3 | <id root="2.16.840.1.113883.4.6" extension="1124022827" />
|
|---|
| 4 |
|
|---|
| 5 | <name>WorldVistA Test Clinic</name>
|
|---|
| 6 | <!--WVV Address of organization is optional except for the STATE-->
|
|---|
| 7 | <addr>
|
|---|
| 8 | <state>MD</state>
|
|---|
| 9 | <postalCode>20877</postalCode>
|
|---|
| 10 | </addr>
|
|---|
| 11 | <!--WVP required asOrganizationPartOf added to sample-->
|
|---|
| 12 | <asOrganizationPartOf>
|
|---|
| 13 | <wholeOrganization>
|
|---|
| 14 | <!-- Tax ID of the provider is the extension and this is a dummy number-->
|
|---|
| 15 | <id root="2.16.840.1.113883.4.2" extension="226864460"/>
|
|---|
| 16 | </wholeOrganization>
|
|---|
| 17 | </asOrganizationPartOf>
|
|---|
| 18 | </providerOrganization>
|
|---|
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