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Medicaid ID No. (Mandatory) New Jersey Department of Health Vaccines for Children (NFC) Program PO Box 369 Trenton, NJ 086250369 Phone: 6098264862 Fax: 6098264867 PIN Tax ID Number PROVIDER DISENROLLMENT
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Begin by downloading the imm-30 njdohdot - state form from the official website of the New Jersey Department of Health.
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Start with the top section of the form, which usually includes personal information such as name, address, contact details, date of birth, and social security number.
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Individuals residing in the state of New Jersey who are seeking healthcare services.
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imm-30 njdohdot - state is a form used by the New Jersey Department of Health to report immunization data.
Healthcare providers and facilities in New Jersey are required to file imm-30 njdohdot - state.
imm-30 njdohdot - state can be filled out electronically or manually, with information about patients' immunization records.
The purpose of imm-30 njdohdot - state is to track and monitor immunization rates in the state of New Jersey.
The information reported on imm-30 njdohdot - state includes patient demographics, vaccine information, and vaccination dates.
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New_Jersey NJVFC vfc DISENROLLMENT NPI DTaP NJIIS IMM-30 NJ JUL vaccinations Eligibility Vaccines Medicaid specify Expiration PROVIDER Trenton Doses Manufacturer Vaccine

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