This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. The first name of the provider, if the provider is an individual. The name prefix or salutation of the provider if the provider is an individual for example, Mr., Mrs., or Corporal. The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. Provider First Line Business Mailing Address These credential designations will not be verified by NPS. The first line mailing address of the provider being identified. Provider Second Line Business Mailing Address This data element may contain the same information as ''Provider first line location address''. The second line mailing address of the provider being identified. Provider Business Mailing Address City Name This data element may contain the same information as ''Provider second line location address''.
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