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| Page standards status: Informative |
Information Source: http://example.org/fhir/server
Profile: QICore Practitioner
identifier: Provider number/1234567893 (use: official, period: 2005-07-16 09:00:00-0500 --> (ongoing))
active: true
name: Emile Zieme(Official)
telecom: ph: 8605555555(Work), ph: 8605555555(Work)
address: UCONN MEDICAL GROUP, FARMINGTON, CT 060300001(home)
gender: Male
birthDate: 1964-06-19