Segment: NM1
Loop: 2420E Segment: NM1
Element: NM101 (Ordering Provider Entity Identifier Code)
Hard code to 'DK'.
Element: NM102 (Ordering Provider Entity Type Qualifier)
Hard code to '1'.
Element: NM103 (Ordering Provider Last Name)
Contact/Provider->Last Name
Element: NM104 (Ordering Provider First Name)
Contact/Provider->First Name
Element: NM105 (Ordering Provider Middle Name)
Contact/Provider->Middle Name
Element: NM107 (Ordering Provider Suffix)
Contact/Provider->Suffix
Element: NM108 (Ordering Provider Identification Code Qualifier)
Hard coded to 'XX'.
Element: NM109 (Ordering Provider NPI)
Contact/Provider->NPI