{
    "BenefitsCoordination": {
        "PayerName": "RXHUBPBM", 
        "GroupID": "DD1", 
        "PayerIdentification": {
            "PayerID": "T00000000001000", 
            "MutuallyDefined": "171020257", 
            "BINLocationNumber": "234876"
        }, 
        "CardholderID": "456456456"
    }, 
    "MedicationPrescribed": {
        "Note": "Patient has sinus infection.", 
        "Refills": {
            "Qualifier": "R", 
            "Value": "0"
        }, 
        "WrittenDate": {
            "Date": "2016-12-15"
        }, 
        "Directions": "Take 2 tablets today as your first day\'s dose. Then take 1 tablet on each of the next 4 days to complete your therapy.", 
        "Quantity": {
            "CodeListQualifier": "38", 
            "UnitSourceCode": "AC", 
            "PotencyUnitCode": "C48542", 
            "Value": "6"
        }, 
        "Substitutions": "0", 
        "DrugCoded": {
            "DrugDBCode": "308460", 
            "DrugDBCodeQualifier": "SCD", 
            "ProductCodeQualifier": "ND", 
            "ProductCode": "00093714656"
        }, 
        "DrugDescription": "azithromycin 250 mg oral tablet"
    }, 
    "Prescriber": {
        "CommunicationNumbers": {
            "Communication": [
                {
                    "Number": "9523137778", 
                    "Qualifier": "TE"
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                {
                    "Number": "1650555121", 
                    "Qualifier": "FX"
                }
            ]
        }, 
        "ClinicName": "chronoplex-2071", 
        "Identification": {
            "DEANumber": "MS1809079", 
            "NPI": "1234567893"
        }, 
        "Name": {
            "LastName": "Malinovskiy", 
            "FirstName": "Denis"
        }, 
        "Address": {
            "City": "Mountain View", 
            "State": "CA", 
            "ZipCode": "94043", 
            "AddressLine1": "EPCS Lane"
        }
    }, 
    "Patient": {
        "Name": {
            "MiddleName": "M", 
            "LastName": "CROSS", 
            "FirstName": "DAVID"
        }, 
        "Gender": "M", 
        "CommunicationNumbers": {
            "Communication": {
                "Number": "6098553055", 
                "Qualifier": "TE"
            }
        }, 
        "DateOfBirth": {
            "Date": "1972-09-10"
        }, 
        "Identification": {
            "PayerID": "DD145645645601"
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        "Address": {
            "City": "TRENTON", 
            "State": "NJ", 
            "ZipCode": "08608", 
            "AddressLine1": "6785 LAUGHALOT LANE"
        }
    }, 
    "Pharmacy": {
        "CommunicationNumbers": {
            "Communication": [
                {
                    "Number": "7075157071", 
                    "Qualifier": "TE"
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                {
                    "Number": "7075157072", 
                    "Qualifier": "FX"
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            ]
        }, 
        "StoreName": "CA Pharmacy 10.6MU", 
        "Identification": {
            "NPI": "1801849179", 
            "NCPDPID": "9911557"
        }, 
        "Specialty": "Retail", 
        "Address": {
            "City": "Sonoma", 
            "State": "CA", 
            "ZipCode": "95476", 
            "AddressLine1": "65432 Cabernet Turn"
        }
    }
}