PRACTICE NUMBERPRACTICE NAMECONTACT NUMBERFAX NUMBERPHYSICAL ADDRESS1PHYSICAL ADDRESS2PHYSICAL SUBURBPHYSICAL TOWNPHYSICAL POSTAL CODEPROVINCEVPGROUP NAMEVALID FROMTERMINATION DATENETWORK_TYPEADMINISTRATOR_CODESCHEME_CODEOPTION_CODEORG_GROUP_NAMECONTRACTEDDISPENSINGDISCIPLINE_CODECONTRACT_ROLEDISCIPLINE_DESCRIPTIONSUB_DISCIPLINE_CODESUB_DISCIPLINE_DESCRIPTIONSTART_DATEEND_DATE
PRACTICE NUMBERPRACTICE NAMECONTACT NUMBERFAX NUMBERPHYSICAL ADDRESS1PHYSICAL ADDRESS2PHYSICAL SUBURBPHYSICAL TOWNPHYSICAL POSTAL CODEPROVINCEVPGROUP NAMEVALID FROMTERMINATION DATENETWORK_TYPEADMINISTRATOR_CODESCHEME_CODEOPTION_CODEORG_GROUP_NAMECONTRACTEDDISPENSINGDISCIPLINE_CODECONTRACT_ROLEDISCIPLINE_DESCRIPTIONSUB_DISCIPLINE_CODESUB_DISCIPLINE_DESCRIPTIONSTART_DATEEND_DATE