| Field Description | Field ID |
| Name | @REF |
| Address Line 1 | @REFADDR1 |
| Address Line 2 | @REFADDR2 |
| City | @REFCITY |
| State | @REFSTATE |
| Zip | @REFZIP |
| NPI | @REFNPI |
| UPIN | @REDUPIN |
| Fax | @REFFAX |
| Phone | @REFPH |
| Field Description | Field ID |
| Name | @REF |
| Address Line 1 | @REFADDR1 |
| Address Line 2 | @REFADDR2 |
| City | @REFCITY |
| State | @REFSTATE |
| Zip | @REFZIP |
| NPI | @REFNPI |
| UPIN | @REDUPIN |
| Fax | @REFFAX |
| Phone | @REFPH |