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File Submission Comparison

Selected Items
Item Name Version State Type Organization
Dental Provider File Submission 2010-03-16 Maine File Specification Maine Health Data Organization (MHDO)
Dental Provider File Submission v1.2 Maine File Specification Maine Health Data Organization (MHDO)

Identifying Attributes

File Specification: Dental Provider File Submission - 2010-03-16 (Maine) Dental Provider File Submission - v1.2 (Maine)
[Shared] Responsible Organization:
Maine Health Data Organization Maine Health Data Organization
[Shared] Definition:
Not Provided Not Provided

Data Elements & Codes

File Specification: Dental Provider File Submission - 2010-03-16 (Maine) Dental Provider File Submission - v1.2 (Maine)
DCPM901
[Unshared] Name: Data Processing Center Code
[Unshared] Type: varchar
[Unshared] Length: Not Provided
[Unshared] Name: Data Processing Center Provider Code
[Unshared] Type: NUMBER
[Unshared] Length: 12
DCPM902
[Shared] Name: Service Provider Tax ID Number
[Unshared] Type: varchar
[Shared] Length: 10
[Shared] Name: Service Provider Tax ID Number
[Unshared] Type: CHAR
[Shared] Length: 10
DCPM903
[Shared] Name: Service Provider Facility Name
[Unshared] Type: varchar
[Shared] Length: 60
[Shared] Name: Service Provider Facility Name
[Unshared] Type: CHAR
[Shared] Length: 60
DCPM904
[Shared] Name: Service Provider Facility Code
[Unshared] Type: varchar
[Shared] Length: 10
[Shared] Name: Service Provider Facility Code
[Unshared] Type: CHAR
[Shared] Length: 10
DCPM905
[Shared] Name: Service Provider First Name
[Unshared] Type: varchar
[Shared] Length: 25
[Shared] Name: Service Provider First Name
[Unshared] Type: CHAR
[Shared] Length: 25
DCPM906
[Shared] Name: Service Provider Middle Name
[Unshared] Type: varchar
[Shared] Length: 25
[Shared] Name: Service Provider Middle Name
[Unshared] Type: CHAR
[Shared] Length: 25
DCPM907
[Shared] Name: Service Provider Last Name
[Unshared] Type: varchar
[Shared] Length: 60
[Shared] Name: Service Provider Last Name
[Unshared] Type: CHAR
[Shared] Length: 60
DCPM908
[Shared] Name: Service Provider Suffix
[Unshared] Type: varchar
[Shared] Length: 10
[Shared] Name: Service Provider Suffix
[Unshared] Type: CHAR
[Shared] Length: 10
DCPM909
[Shared] Name: Service Provider Title
[Unshared] Type: varchar
[Shared] Length: 10
[Shared] Name: Service Provider Title
[Unshared] Type: CHAR
[Shared] Length: 10
DCPM910
[Shared] Name: Service Provider State or Province
[Unshared] Type: varchar
[Shared] Length: 2
[Shared] Name: Service Provider State or Province
[Unshared] Type: CHAR
[Shared] Length: 2
DCPM911
[Shared] Name: Taxonomy Code
[Unshared] Type: varchar
[Shared] Length: 10
[Shared] Name: Taxonomy Code
[Unshared] Type: CHAR
[Shared] Length: 10
DCPM912
Data Element: DCPM912
not present in this file submission.
[Unshared] Name: National Provider Identifier
[Unshared] Type: CHAR
[Unshared] Length: 20
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