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Created September 20, 2013 15:25
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Enrollment Request
{
"api_key": "key-here",
"service_provider_list": [
{
"facility_name": "Quality",
"provider_name": "Jane Austen",
"tax_id": "12345678",
"address": "125 Snow Shoe Road",
"city": "Sacramento",
"state": "CA",
"zip": "94107",
"ptan": "54321",
"npi": "9876543228"
},
{
"facility_name": "Aetna",
"provider_name": "Jack Austen",
"tax_id": "12345678",
"address": "985 Snow Shoe Road",
"city": "Menlo Park",
"state": "CA",
"zip": "94107",
"ptan": "54321",
"npi": "9876543228"
}
],
"payer_ids": [
"00431"
]
}
~
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