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EXHIBIT 174 MODEL LETTER: ORGAN PROCUREMENT ORGANIZATION NOTICE TO PUBLIC AND STATE MEDICAID/MEDICARE AGENCIES (Date) Name of Organ Procurement Organization (OPO) Administrator Name of OPO Address
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Exhibit 174 model letter is a document required to be filed by certain entities with specific information.
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Exhibit 174 model letter should be completed with accurate and relevant information as instructed by the regulatory authority.
The purpose of exhibit 174 model letter is to provide information to the regulatory authority concerning certain aspects of the entity's operations.
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