{if $ERROR} {$ERROR} {else}
{foreach name=inums item=num_set from=$provider->get_insurance_numbers()} {if $smarty.foreach.inums.last} {/if} {foreachelse} {/foreach}
Provider {$provider->get_name_display()}
{$num_set->get_insurance_company_name()} Provider # {$num_set->get_provider_number()}
Rendering Provider # {$num_set->get_rendering_provider_number()}
Group # {$num_set->get_group_number()}
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Insurance Company {if $ins->get_id() eq ""} {html_options name="insurance_company_id" options=$ic_array values=$ic_array selected=$ins->get_insurance_company_id()} {else} {$ins->get_insurance_company_name()} {/if}
Provider Number  Type:  {html_options name="provider_number_type" options=$ic_type_options_array values=$ins->provider_number_type_array selected=$ins->get_provider_number_type()}
Rendering Provider Number  Type:  {html_options name="rendering_provider_number_type" options=$ic_rendering_type_options_array values=$ins->rendering_provider_number_type_array selected=$ins->get_rendering_provider_number_type()}
Group Number

{if $ins->get_id() eq ""} {else} {/if}
{/if}