Create the Provider Catalog Record

• Name of person: [100] HELP

• Organization: [110] HELP

• Title of the program: [245] HELP

• Variant title: [246] HELP

Primary address associated with Person or Organization

• Street Address: [270a] HELP

• City: [270b] HELP

• State/Province: [270c] HELP

• Country: [270d] HELP

• Zip/Postal Code: [270e] HELP

• Type of Address: [270i] HELP Building Address Mailing Address Billing Address

• Telephone number: [270k] HELP

• Fax Number: [270l] HELP

• E-mail: [270m] HELP

• TDD or TTY number: [270n] HELP

• Contact Person: [270p] HELP

• Title of Contact Person: [270q] HELP

• *Database Name:HELP
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