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NEW YORK STATE DEPARTMENT OF HEALTH Division of Health Care Financing Provider Name/Address Change HEALTH CARE REFORM ACT PUBLIC GOODS POOL Instructions: Complete form to reflect name and/or address
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DOH 4407 form is a document used for reporting health statistics.
Healthcare facilities and providers are required to file DOH 4407 form.
DOH 4407 form can be filled out electronically or manually, following the instructions provided by the Department of Health.
The purpose of DOH 4407 form is to collect data on health statistics for analysis and research purposes.
Information such as patient demographics, diagnoses, treatments, and outcomes must be reported on DOH 4407 form.
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