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1304 Vermilion Street Hastings, MN 55033 pH 8004823518 Fax 6513899152 www.edsedi.com LOUISIANA MEDICAID DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION CKLA1 and CKLA2 PAYER ID NUMBERS
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ckla1 and ckla2 are financial disclosure forms required by the government.
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