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/li 7108889 -4- MEDICAID Identifier State 1 AB28543 Identifier Type 2 MEDICARE PIN Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP Description 1 Single Specialty Group A business group of one or more individual practitioners all of who practice with the same area of specialization. -5- NPPES National Plan Enumeration System 1-800-465-3203 NPI Toll-Free 1-800-692-2326 NPI TTY NPI Enumerator PO Box 6059 Fargo ND 58108-6059 Email customerservice npienumerator. Www. hipaaspace. com 1831366566...
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It is a form used for reporting inpatient services provided by South Sound hospitals.
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