| profile_of_enrolled_medi_cal_dental_fee_for_service_ffs_4dbc281a | |
provider_npi - varchar(15)
billing_provider_number - varchar(23)
service_location_number - varchar(23)
provider_legal_name - varchar(28)
enrollment_status_effective_date - varchar(32)
provider_type_code - varchar(18)
provider_type_code_desc - varchar(39)
provider_specialty_code - varchar(23)
provider_specialty_code_desc - varchar(34)
provider_language_code - varchar(22)
provider_language_code_desc - varchar(27)
provider_county_code - varchar(20)
provider_county_desc - varchar(20)
billing_provider_address_attention_line - varchar(39)
billing_provider_address_1 - varchar(26)
billing_provider_address_2 - varchar(26)
billing_provider_city - varchar(21)
billing_provider_state - varchar(22)
billing_provider_zip - varchar(20)
latitude - decimal(12,8)
longitude - decimal(12,8)
mssa_id - varchar(8)
tract_id - varchar(8)
|