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NAME OF PHARMACY: PHONE #: COMPLETED BY: DATE: DOCTOR EXAMPLES DOCTOR NAME: PROFESSION: ADD LINE 1: ADD LINE 2: CITY: STATE: ZIP: PHONE: FAX: OTHER PHONE: DEA #: STATE ID #: NPI#: MEDICAID #: UPON#:
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What is information that gets converted?
Information that gets converted is data that is transformed from one format to another.
Who is required to file information that gets converted?
The entities or individuals responsible for the data conversion are required to file the information.
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Information that gets converted can be filled out using appropriate software or tools designed for data transformation.
What is the purpose of information that gets converted?
The purpose of converting information is to make it compatible with different systems or platforms.
What information must be reported on information that gets converted?
The details of the original data and the format it is being converted to must be reported.
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