| Name | Description | Type | Additional information |
|---|---|---|---|
| SpecialtyCode | string |
None. |
|
| SubSpecialtyCode | string |
None. |
|
| DispensingLicNum | string |
None. |
|
| PracticeName | string |
None. |
|
| PracticeNum | string |
None. |
|
| HPCSA | string |
None. |
|
| Demographics | Com.Healthbridge.Hhas.Claiming.Interface.ValueObjects.Demographics |
None. |