{"aaData": [["BLUE CROSS", "
NONE
\n", "
1A
\n", "", "", "
YES
\n", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "", "", ""], ["MEDICARE PART A", "
NONE
\n", "
1C
\n", "", "", "
YES
\n", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "", "", ""], ["MEDICARE PART B", "
NONE
\n", "
1C
\n", "", "", "
YES
\n", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "", "", ""], ["EMPLOYER'S IDENTIFICATION #", "
FACILITY - ALL PROV
\n", "
24
\n", "", "
YES
\n", "
YES
\n", "", "
YES
\n", "", "", "", "
YES
\n", "", "", "", "", ""], ["DEA #", "
LICENSING/GOVT AGENCY - EACH PROV
\n", "", "", "", "
NO
\n", "", "
YES
\n", "
YES
\n", "", "", "", "", "", "
YES
\n", "
YES
\n", ""], ["BLUE SHIELD", "
NONE
\n", "
1B
\n", "", "", "
YES
\n", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "", "", ""], ["PROVIDER PLAN NETWORK", "
NONE
\n", "
N5
\n", "", "", "
YES
\n", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "
YES
\n", "", "", ""], ["FEDERAL TAXPAYER'S #", "
LICENSING/GOVT AGENCY - EACH PROV
\n", "
TJ
\n", "", "", "
YES
\n", "", "
YES
\n", "", "", "", "", "", "", "
YES
\n", "", ""], ["UPIN", "
NONE
\n", "
1G
\n", "", "", "
YES
\n", "
PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "
YES
\n", "", ""], ["STATE LICENSE", "
LICENSING/GOVT AGENCY - EACH PROV
\n", "
0B
\n", "", "", "
YES
\n", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "
YES
\n", "", "", "", "
YES
\n", "
YES
\n", ""], ["PPO NUMBER", "
FACILITY - ALL PROV
\n", "
B3
\n", "", "", "
NO
\n", "", "
YES
\n", "", "", "", "", "", "", "", "", ""], ["HMO", "
FACILITY - ALL PROV
\n", "
BQ
\n", "", "", "
NO
\n", "", "
YES
\n", "", "", "", "", "", "", "
NO
\n", "", ""], ["SOCIAL SECURITY NUMBER", "
LICENSING/GOVT AGENCY - EACH PROV
\n", "
SY
\n", "", "", "
YES
\n", "", "
YES
\n", "", "", "", "", "", "", "
YES
\n", "", ""], ["STATE INDUSTRIAL ACCIDENT PROV", "
NONE
\n", "
X5
\n", "", "", "
YES
\n", "", "
YES
\n", "", "", "", "", "", "", "
YES
\n", "", ""], ["LOCATION NUMBER", "
NONE
\n", "
LU
\n", "", "", "
YES
\n", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "
NO
\n", "", ""], ["ELECTRONIC PLAN TYPE", "
FACILITY - ALL PROV
\n", "
1J
\n", "", "", "
NO
\n", "
INSTITUTIONAL
\n", "
YES
\n", "", "", "", "", "", "", "
NO
\n", "
NO
\n", "
YES
\n"], ["CHAMPUS", "
NONE
\n", "
1H
\n", "", "", "
YES
\n", "
PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "", "", ""], ["MEDICAID", "
NONE
\n", "
1D
\n", "", "", "", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "
YES
\n", "", ""], ["USIN", "
NONE
\n", "
U3
\n", "", "", "
YES
\n", "
PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "
NO
\n", "", ""], ["EIN", "
NONE
\n", "
EI
\n", "", "", "
YES
\n", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "", "", ""], ["CLINIC NUMBER", "
NONE
\n", "
FH
\n", "", "", "
YES
\n", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "", "", ""], ["PROVIDER SITE NUMBER", "
NONE
\n", "
G5
\n", "", "", "
YES
\n", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "", "", ""], ["NATIONAL PROVIDER ID", "
LICENSING/GOVT AGENCY - EACH PROV
\n", "
XX
\n", "", "", "
YES
\n", "", "
YES
\n", "", "", "", "", "", "", "
YES
\n", "
YES
\n", ""], ["COMMERCIAL", "
NONE
\n", "
G2
\n", "", "", "
YES
\n", "
BOTH INSTITUTIONAL AND PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "", "", ""], ["CLIA #", "
LICENSING/GOVT AGENCY - EACH PROV
\n", "
X4
\n", "", "", "
NO
\n", "
PROFESSIONAL
\n", "
YES
\n", "", "", "", "", "", "", "
YES
\n", "", ""], ["EMC ID", "
NONE
\n", "", "", "", "
NO
\n", "", "
NO
\n", "", "", "", "", "
YES
\n", "", "", "", ""]]}