| SEQUENCE NUMBER | YEAR MONTH | MASTER PATIENT INDEX | SEX | DATE OF BIRTH | ELIGIBILITY | VETERAN | RACE | POW STATUS | POW LOCATION | RADIATION STATUS | AGENT ORANGE STATUS | EXTRACT NUMBER | MST STATUS | STATE | COUNTY | ZIP+4 | ENROLLMENT LOCATION | PLACEHOLDER1 | PROVIDER | PROVIDER PERSON CLASS | PROVIDER NPI | SHARING AGREEMENT PAYOR | FACILITY | SHARING AGREEMENT INSURANCE | RADIATION ENCOUNTER INDICATOR | AO ENCOUNTER INDICATOR | MST ENCOUNTER INDICATOR | DSS DEPT. | ICD-9 CODES | PATIENT NO. - DFN | SSN | NAME | IN OUT PATIENT INDICATOR | DAY | PRIMARY STOP CODE |
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