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Refer to Subsection 5.3.10 of Clinical Coverage Policy 5B, Orthotics and Prosthetics, for more details Prior Approval Form for Lower Extremity Prosthetic Component L5980: All lower extremity prostheses,

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What is ny dma request for?

NY DMA request is used for requesting a Direct Marketing Authorization in New York.

Who is required to file ny dma request for?

Any business engaging in direct marketing activities in New York is required to file a ny dma request.

How to fill out ny dma request for?

To fill out a ny dma request, you need to provide your business information, contact details, description of direct marketing activities, and other relevant information as specified in the form.

What is the purpose of ny dma request for?

The purpose of ny dma request is to obtain authorization from the state of New York for conducting direct marketing activities within its jurisdiction.

What information must be reported on ny dma request for?

The information required to be reported on ny dma request includes business details, contact information, description of direct marketing activities, and any additional supporting documentation as specified in the form.

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