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- <!DOCTYPE html>
- <html>
- <head>
- <title>{{ $details['subject'] }}</title>
- </head>
- <body>
- <?php
- $data = $details['data'];
- ?>
- <div><b>Company Name:</b>{{ $data->company_name }}</div>
- <div><b>Group Npi:</b>{{ $data->group_npi }}</div>
- <div><b>Order Phyisician Name:</b>{{ $data->order_phyisician_name }}</div>
- <div><b>Physician Npi:</b>{{ $data->physician_npi }}</div>
- <div><b>Purchasing Contact Name:</b>{{ $data->purchasing_contact_name }}</div>
- <div><b>Phone Number:</b>{{ $data->phone_number }}</div>
- <div><b>Email:</b>{{ $data->email }}</div>
- <div><b>Shipping Address:</b>{{ $data->shipping_address }}</div>
- <div><b>Line 2:</b>{{ $data->line_2 }}</div>
- <div><b>City:</b>{{ $data->city }}</div>
- <div><b>State:</b>{{ $data->state }}</div>
- <div><b>Zip:</b>{{ $data->zip }}</div>
- <div><b>Agrees To Terms:</b>{{ $data->agrees_to_terms }}</div>
- </body>
- </html>
|
