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PROVIDER NO. 14-0130 LAKE FOREST HOSPITAL PERIOD FROM 01/01/2008 TO 12/31/2008 KPMG LLP COMPU-MAX MICRO SYSTEM IN LIEU OF FORM CMS-2552-96 (11/98) VERSION: 2008.05 05/22/2009 16:13 HOSPITAL AND HOSPITAL
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How to fill out provider no 14-0130 lake
Answer to the question:
How to fill out provider no 14-0130 lake and who needs it?
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Provider no 14-0130 lake is required by healthcare providers who want to bill for services provided at a lake or any other body of water. This includes doctors, hospitals, clinics, and other healthcare facilities.
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Keep a copy of the filled-out form and supporting documents for your records. This will serve as proof of your application and the services provided at the lake.
Remember, provider no 14-0130 lake is crucial for healthcare providers who offer services at a lake. By properly filling out the form and submitting it on time, you can ensure accurate billing and reimbursement for your services.
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What is provider no 14-0130 lake?
Provider no 14-0130 lake is a unique identifier for a specific healthcare service provider located near a lake.
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