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Packagefhir.test.data.r4
Resource TypePractitioner
IdPractitioner-2524.json
FHIR Version

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Source1

{
  "resourceType": "Practitioner",
  "id": "Practitioner-2524",
  "identifier": [
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/identifier-type",
            "code": "SB",
            "display": "Social Beneficiary Identifier"
          }
        ],
        "text": "US Social Security Number"
      },
      "system": "http://hl7.org/fhir/sid/us-ssn",
      "value": "000002524"
    },
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v2/0203",
            "code": "PRN",
            "display": "Provider number"
          }
        ],
        "text": "US National Provider Identifier"
      },
      "system": "http://hl7.org/fhir/sid/us-npi",
      "value": "999992524"
    }
  ],
  "name": [
    {
      "family": "Riddle",
      "given": [
        "Willie",
        "Vincent"
      ],
      "suffix": [
        "MD"
      ]
    }
  ],
  "telecom": [
    {
      "system": "phone",
      "value": "269-555-4816",
      "use": "work"
    },
    {
      "system": "phone",
      "value": "269-555-2495",
      "use": "mobile"
    }
  ],
  "address": [
    {
      "use": "work",
      "type": "postal",
      "line": [
        "795 SE View Circle"
      ],
      "city": "Gladstone",
      "district": "Delta County",
      "state": "MI",
      "postalCode": "49837"
    }
  ],
  "gender": "male",
  "birthDate": "1962-05-23"
}