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MOTORIZED / POWER ASSISTIVE DEVICE REQUEST Dear Physician or DME Provider: To assist you in obtaining authorization for the requested manual wheelchair, we need the following information: Member name:
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How to fill out 6190 in word form:

01
Start by writing out the number "6190" in numerical form.
02
Determine the word form equivalent for each digit in the number. In this case, the word form for "6" is "six thousand," the word form for "1" is "one hundred," the word form for "9" is "ninety," and the word form for "0" is "zero."
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Combine the word form equivalents for each digit to form the word form representation of the number "6190," which is "six thousand one hundred ninety."
04
Double-check your work to make sure the word form is correct.

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Six thousand one hundred ninety
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