| Name | Value |
|---|---|
| NAME | PROVIDER (V2.1) |
| FORM | AMBULATORY SURGERY SAMPLE V2.1 |
| BLOCK'S STARTING ROW | 42 |
| BLOCK'S STARTING COLUMN | 95 |
| WIDTH IN CHARACTERS | 38 |
| HEIGHT IN LINES | 10 |
| OUTLINE TYPE | SOLID LINE |
| BLOCK HEADER | PROVIDER |
| HEADER APPEARANCE | RC |
| BRIEF DESCRIPTION | Clinic's providers |
| TOOLKIT ORDER | 0 |