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Full names Date Place Signature Please forward this document with all attachments to the SAPTA Office Manager Annelize Burger T 27 12 567 2824 M 27 71 873 2568 hello saptaonline. COM www. saptaonline. org Field Information Make publically Available Provider Name Trading as Company Registration Number Years in Business URL Contact Person Contact Landline Contact Mobile Contact e-mail Contact Fax Physical Address line1 Town City Provence Country Postal Code Postal Address line 1 City / Town...
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The CPT Preferred Provider Application is a form used by providers to apply for participation in the CPT network.
Healthcare providers who wish to become part of the CPT network are required to file the Preferred Provider Application.
The CPT Preferred Provider Application can be filled out online on the CPT website or submitted via mail with all the required information.
The purpose of the CPT Preferred Provider Application is to gather information about healthcare providers who wish to join the CPT network.
The CPT Preferred Provider Application requires information such as provider's contact information, services provided, credentials, and insurance information.
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