APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_NAME|APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_ID|CONSOLIDATED_REPORT_INDICATOR|RESUBMISSION_FILE_INDICATOR|OWNERSHIP_INVESTMENT_PHYSICIAN_S_FIRST_NAME|OWNERSHIP_INVESTMENT_PHYSICIAN_S_MIDDLE_NAME|OWNERSHIP_INVESTMENT_PHYSICIAN_S_LAST_NAME|OWNERSHIP_INVESTMENT_PHYSICIAN_S_NAME_SUFFIX|OWNERSHIP_INVESTMENT_PHYSICIAN_S_BUSINESS_STREET_ADDRESS_LINE_1|OWNERSHIP_INVESTMENT_PHYSICIAN_S_BUSINESS_STREET_ADDRESS_LINE_2|OWNERSHIP_INVESTMENT_PHYSICIAN_S_CITY|OWNERSHIP_INVESTMENT_PHYSICIAN_S_STATE|OWNERSHIP_INVESTMENT_PHYSICIAN_S_ZIP_CODE|OWNERSHIP_INVESTMENT_PHYSICIAN__S_COUNTRY|OWNERSHIP_INVESTMENT_PHYSICIAN__PROVINCE|OWNERSHIP_INVESTMENT_PHYSICIAN_S_POSTAL_CODE|OWNERSHIP_INVESTMENT_PHYSICIAN_S_EMAIL_ADDRESS|OWNERSHIP_INVESTMENT_PHYSICIAN_S_PRIMARY_TYPE|OWNERSHIP_INVESTMENT_PHYSICIAN_S_OR_TEACHING_HOSPITAL_NPI|OWNERSHIP_INVESTMENT_PHYSICIAN_S_SPECIALTY|OWNERSHIP_INVESTMENT_PHYSICIAN_S_LICENSE_STATE_AND_LICENSE_NUMBER_1|OWNERSHIP_INVESTMENT_PHYSICIAN_S_LICENSE_STATE_AND_LICENSE_NUMBER_2|OWNERSHIP_INVESTMENT_PHYSICIAN_S_LICENSE_STATE_AND_LICENSE_NUMBER_3|OWNERSHIP_INVESTMENT_PHYSICIAN_S_LICENSE_STATE_AND_LICENSE_NUMBER_4|OWNERSHIP_INVESTMENT_PHYSICIAN_S_LICENSE_STATE_AND_LICENSE_NUMBER_5|APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPO_REPORTING_OWNERSHIP_NAME|APPLICABLE_MANUFACTURER_OR_APPLICABLE_GPOREPORTING_OWNERSHIP_REGISTRATION_ID|HOME_SYSTEM_PAYMENT_ID|RESUBMITTED_PAYMENT_RECORD_ID|PREVIOUSLY_DELETED_INDICATOR|PREVIOUSLY_DELETED_PAYMENT_RECORD_ID|INTEREST_HELD_BY_PHYSICIAN_OR_AN_IMMEDIATE_FAMILY_MEMBER|DOLLAR_AMOUNT_INVESTED|VALUE_OF_INTEREST|TERMS_OF_INTEREST
JKLMN Manufacturer|101110101|N|N|Jerry|M|Ellis|Jr|680 Main St||Baltimore|MD|28055|US|||jerry.ellis@theGenralhospital.com|2|1213341213|207Q00000X|MD-6576523|||||AM 1|101110101|1212121314||N||1|6894.22|668.22|This is a test for verifying the terms and conditions