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Field Description
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Field Number
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Field Definition
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ILEC Territory
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1
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The Local Exchange Carrier which services the area where the customer's service location resides.
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BIRCH/IONEX
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2
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Is the current local provider Birch Telecom or Ionex Telecom (Ionex Telecom was acquired by Birch Telecom).
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Requesting CLEC
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3
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Name of company requesting the Customer Service Information.
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Initiator Name
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4
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Who within the requesting company is placing this request and will serve as the company contact.
This may be an individual, work team, or office name, as appropriate.
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Initiator Contact Number
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5
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Initiator's business contact number.
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Fax Number
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6
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Initiators business fax number. Fax Number, Email Address, or both should be entered.
If Fax is not an appropriate means of distributing Customer Service Information place an N/A in this field.
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Email Address
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7
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Initiators business email address. Email address, Fax Number, or both should be entered.
If email is not an appropriate means of distributing Customer Service Information place an N/A in this field.
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Name
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8
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End User Account Name.
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Service Address
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9
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End User Service Location Address.
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Apt or Suite Number
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10
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End User Service Location Apartment, Suite, Room #, etc.
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City
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11
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End User Service Location City.
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State
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12
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End User Service Location State.
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Zip Code
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13
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End User Service Location Zip.
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Type of Service
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14
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The end user class of service. Residential or Business.
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Account Number
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15
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The existing Birch/Ionex customer account Number.
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LOA on File
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16
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See Section IV B. of CLEC-to-CLEC and CLEC-to-ILEC migration guidelines.
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WTN
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17
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Include all TN's that will be converting and need to be included with the Customer Service Information.
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Terminals
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18
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Select Yes or No as applicable.
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Terminal Number
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19
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Terminal Telephone Numbers and Terminal Number( example 001, 002, etc.
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Comments
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20
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Beginning and ending number range of DID's can be entered here. Any additional information that would
be of assistance to Birch Telecom in fulfilling the Customer Service Information should also be included.
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