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First Name

Last Name

Organization Type Hospital or Medical Center Health System Headquarters/Corporate Offices Ambulatory Care Clinic Home Health Agency, VNA, Hospice Skilled Nursing, Rehab, Other Subacute Facility Medical Group or Specialty Practice Other Provider or Clinical Service Health Plan or Insurance Company Accounting Firm Collection and A/R Recovery Service Consulting Firm Physician Practice Management Firm Managed Services/Outsourcing/Temporary Staffing GPO/Purchasing Alliance Third Party Administration Law Firm Educational Institution Professional/Trade Association or Publisher Library Advertising Agency Other/Non Provider

Country United States Afghanistan Australia Bahamas Bahrain Belgium Bermuda Brazil Cambodia Canada Cayman Islands China Columbia Curaçao Djibouti Egypt Germany Ghana India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Japan Jordan Kenya Kuwait Lebanon Liberia Libya Madagascar Malaysia Morocco Netherlands Nigeria Oman Pakistan Palestine Philippines Poland Qatar Rwanda Saudi Arabia Somalia South Africa Spain Sudan Syria Thailand Tunisia Ukraine United Arab Emirates United Kingdom Viet Nam Wales Yemen Uganda Zimbabwe

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