"Supplementary Exhibit 1. Physicians and Non-Physician Eligible Professionals Billing Under Your TIN, Selected Characteristics, 2013"					
					
NPI	Name	Physician	Non-Physician Eligible Professional	Specialty Designation	Date of Last Claim Billed Under TIN
#	John Doe	-	X	Licensed Clinical Social Worker	12/15/2013
#	John Smith	X	-	Internal Medicine	11/22/2013
					
 Crosses indicate terms to be defined through the hover-over function.					
					
