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Source1

{
  "resourceType": "Practitioner",
  "id": "Certifier-Example2-no-NPI",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role",
      "valueCode": "Certifier"
    }
  ],
  "identifier": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode": "unknown"
        }
      ]
    }
  ],
  "name": [
    {
      "use": "official",
      "family": "Black",
      "given": [
        "Jim"
      ]
    }
  ],
  "address": [
    {
      "line": [
        "44 South Street"
      ],
      "city": "Bird in Hand",
      "state": "PA",
      "postalCode": "17505",
      "country": "US"
    }
  ]
}