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9A. PHYSICIAN S SIGNATURE 9D. PHYSICIAN S PHONE AND FAX NUMBER 9E. NATIONAL PROVIDER IDENTIFIER NPI NUMBER 9C. Giving us your SSN account information is voluntary. Refusal to provide your SSN by itself will not result in the denial of benefits. 6. ARE THERE ANY OTHER SIGNIFICANT DIAGNOSTIC TEST FINDINGS AND/OR RESULTS IF YES PROVIDE TYPE OF TEST OR PROCEDURE DATE AND RESULTS brief summary SECTION VII - FUNCTIONAL IMPACT SECTION VIII - REMARKS 8. VA will not deny an individual benefits for...
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1. Locate the space designated for the expiration date on the form/document.
2. Write the month, day, and year in the following format: MMDDYYYY.
3. In this case, write 09302019 as the expiration date.
4. Ensure that there are no spaces or additional characters in the date.
5. Double-check the accuracy of the date before submitting the form/document.
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What is expiration date 0930?
Expiration date 0930 is the date by which a certain authorization or certification is set to expire.
Who is required to file expiration date 0930?
The individuals or organizations holding the authorization or certification that expires on date 0930 are required to file for renewal or extension.
How to fill out expiration date 0930?
To fill out expiration date 0930, the relevant forms or applications must be completed accurately and submitted to the appropriate governing body before the deadline.
What is the purpose of expiration date 0930?
The purpose of expiration date 0930 is to ensure that authorizations or certifications are kept up to date and in compliance with regulations.
What information must be reported on expiration date 0930?
The information required to be reported on expiration date 0930 may include updated contact information, proof of continuing education or training, and any relevant updates or changes since the last renewal.
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