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CERTIFICATE OF MEDICAL NECESSITY HOSPITAL BEDS SECTION Certification Type/Date: INITIAL / / REVISED / / PATIENT NAME, ADDRESS, TELEPHONE and MEMBER NUMBERRECERTIFICATION / / SUPPLIER NAME, ADDRESS,

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Certification typedate initial refers to the completion and submission of a specific form or document by a certain date.

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The purpose of certification typedate initial is to ensure compliance with regulations, laws, or guidelines by submitting necessary documentation by the specified date.

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