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name
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Degree
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APN
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BA
BN
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NP
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PA
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Physical Therapy
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RT
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Primary Specialty
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Addiction
Anesthesiology
Cardiology
Dermatology
Electrophysiology
Emergency Medicine
Endocrinology
Family Practice
Gastroenterology
General Practice
General Surgery
Geriatrics
Hepatology
Hospital Medicine
Immunology
Infectious diseases
Internal Medicine
Nephrology
Neurology
Ob-Gyn
Occupational Medicine
Oncology
Ophthalmology
Orthopedics
Pain Management
Pedatrics
Pharma/Biotech
Plastic Surgery
Physical Medicine & Rehabilitation
Podiatry
Psychadelics Other
Psychedelics Research
Psychiatry
Psychology
Pulmonary medicine
Radiology
Rheumatology
Urology
Vascular
Wound Care
Other
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Practice Setting
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Ambulatory Surgery Center (ASC)
Assisted Living
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Hospital: Correctional Facility
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Hospital: Private
Hospital: State/VA/DOD
Long-Term Acute Care (LTAC)
Long-Term Care
Managed Care
Military
Office based – Group Practice
Office based – Solo Practice
Office based - Vascular Lab
Outpatient Vascular Lab
Pharma/MedDevice/Other
Private Group Practice
Private Solo Practice
Research
Retired
Telehealth
University/School
Treatment Center
Urgent Care
Wound Care Center/Clinic
Other
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Company/Organization
Address
Country
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Afghanistan
Åland Islands
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Andorra
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Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
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Belgium
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Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
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Burundi
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Cameroon
Canada
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Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Ceuta & Melilla
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Diego Garcia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
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Guyana
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Indonesia
Iran
Iraq
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Isle of Man
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Jordan
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Latvia
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Libya
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Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
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Mali
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Mauritius
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Mongolia
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Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé & Príncipe
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Senegal
Serbia
Seychelles
Sierra Leone
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Sint Maarten
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Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
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St. Barthélemy
St. Helena
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St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Street address
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Alabama
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Arizona
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Armed Forces (AA)
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Armed Forces (AP)
California
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District of Columbia
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