Creates the medicaid enrollment info for a specific provider.
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{- "state": "AL",
- "nonVerifiedInfo": {
- "effectiveDate": "2019-08-24T14:15:22Z",
- "providerType": "string",
- "providerSpecialty": "string",
- "address": "string",
- "inState": true
}
}
{- "lastUpdatedAt": "2019-08-24T14:15:22Z",
- "id": "497f6eca-6276-4993-bfeb-53cbbbba6f08",
- "state": "AL",
- "nonVerifiedInfo": {
- "effectiveDate": "2019-08-24T14:15:22Z",
- "providerType": "string",
- "providerSpecialty": "string",
- "address": "string",
- "inState": true
}
}