| Name | Description | Type | Additional information |
|---|---|---|---|
| SupportingProviderXRef | string |
None. |
|
| Type | string |
None. |
|
| TreatingPracticeNumber | string |
None. |
|
| Name | string |
None. |
|
| Surname | string |
None. |
|
| HpcsaNumber | string |
None. |
|
| Title | string |
None. |
|
| FriendlyName |
Title + Name + Surname |
string |
None. |