PRACTICE NUMBERPRACTICE NAMEPHONE_NUMBERFAX_NUMBERPHYSICAL ADDRESS1PHYSICAL ADDRESS2PHYSICAL SUBURBPHYSICAL TOWNPHYSICAL POSTAL CODEPROVINCEPRACTICE TYPENETWORK_TYPEADMINISTRATOR_CODESCHEME_CODEOPTION_CODEORG_GROUP_NAMECONTRACTEDDISPENSINGCONTRACT_ROLEDISCIPLINE_CODEDISCIPLINE_DESCRIPTIONSUB_DISCIPLINE_DESCRIPTION
PRACTICE NUMBERPRACTICE NAMEPHONE_NUMBERFAX_NUMBERPHYSICAL ADDRESS1PHYSICAL ADDRESS2PHYSICAL SUBURBPHYSICAL TOWNPHYSICAL POSTAL CODEPROVINCEPRACTICE TYPENETWORK_TYPEADMINISTRATOR_CODESCHEME_CODEOPTION_CODEORG_GROUP_NAMECONTRACTEDDISPENSINGCONTRACT_ROLEDISCIPLINE_CODEDISCIPLINE_DESCRIPTIONSUB_DISCIPLINE_DESCRIPTION