Your Practice Name                                    (531)
                                               VSS Medical Office System
                                           +-------------------------------+             Run: Jan 11, 2006
                                           | PROVIDERS OF MEDICAL SERVICE  |            Page: 1
                                           +-------------------------------+

                                                                      PROVIDER             GROUP
 Code      Provider Name                       Address                ID CODES             ID CODES
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 12   John R Candy                   55 West Street                 Tax: 251234567    E   251234567
                                                                    Lic: 828382828        828382828
      (412) 555-1212                 Bethel Park PA 15102            MC: CA01234          CA01234
                                                                     BS: 11313414         11313414
                                                                     MD: 1312425335       1312425335
                                                                  Champ: 1332323233       1332323233
                                                                   COMM: 9281827344       9281827344
                                                                   UPIN: 12324            12324
                                                                    DME: CA01234
                                                                    NPI: 123456789
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 1-X  William Exec                   123 Main                       Tax: 123456987    E
                                                                    Lic:
      (412) 555-1212                                                 MC: MEDICARE123
                                                                     BS:
                                                                     MD:
                                                                  Champ:
                                                                   COMM:
                                                                   UPIN:
                                                                    DME: MEDICARE123
                                                                    NPI:
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 1    Vicki G Henry                  100 River Run Road             Tax: 555125555    S   GTAX60454
                                     Suite 311                      Lic: PD012995E        MD012995E
      (412) 555-4545                 Carmichaels PA 15333            MC: PMC173128        GMC3372
                                                                     BS: PBS337223        GBS337223
                                                                     MD: PMD1566801       GMD1566801
                                                                  Champ: PCH1717171       GCH1717171
                                                                   COMM: PCOM182821       GCOM182821
                                                                   UPIN: B45893           B45893
                                                                    DME: 918173128        G918173128
                                                                    NPI:
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 20   Unis Onnis                     555 West South Street          Tax: 123456789        21-55555555
                                                                    Lic: 987654321        987654321
      (412) 555-1212                 New York NY 10012               MC: 987123245        987123245
                                                                     BS: BS12345          BS12345
                                                                     MD: MC54321          MC54321
                                                                  Champ:
                                                                   COMM: COM010101        COM010101
                                                                   UPIN:
                                                                    DME: 987123245
                                                                    NPI:
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                                                   Your Practice Name                                    (531)
                                               VSS Medical Office System
                                           +-------------------------------+             Run: Jan 11, 2006
                                           | PROVIDERS OF MEDICAL SERVICE  |            Page: 2
                                           +-------------------------------+

                                                                      PROVIDER             GROUP
 Code      Provider Name                       Address                ID CODES             ID CODES
--------------------------------------------------------------------------------------------------------------
 TJP  THOMAS J PICKETT               P.O. Box 815                   Tax: 991112111    S   991112111
                                                                    Lic:
      (412) 835-8417                 Bethel Park PA 15102-0815       MC: 991121
                                                                     BS:
                                                                     MD:
                                                                  Champ:
                                                                   COMM:
                                                                   UPIN:
                                                                    DME: 991121
                                                                    NPI:
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 8    Wilson M Pickit                                               Tax: 654321789
                                                                    Lic: 12221111
      (412) 555-1212                                                 MC: 918173128
                                                                     BS:
                                                                     MD: 123456789
                                                                  Champ:
                                                                   COMM:
                                                                   UPIN:
                                                                    DME: 918173128
                                                                    NPI:
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 11   Dennis Spanish                 123 West Street                Tax: 259876543    E   259876543
                                                                    Lic:
            111-2222                 KINGSTON NY 12401               MC: 0000987654       0000987654
                                                                     BS: 2999283          2999283
                                                                     MD: 9938272          9938272
                                                                  Champ: CHAMPUS          CHAMPUS
                                                                   COMM: COMMERCIAL       COMMERCIAL
                                                                   UPIN: UPIN             UPIN
                                                                    DME: 0000987654
                                                                    NPI:
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