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A photocopy of this authorization shall be as valid as the original.
Patient Impatient Number Start of Care Date (m/d/YYY)Location NumberResponsible Party Names (if applicable)The services which Kindred
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What is a photocopy of this?
A photocopy of this is a duplicate copy of a document or paperwork.
Who is required to file a photocopy of this?
The individual or entity mentioned in the instructions or guidelines is required to file a photocopy of this.
How to fill out a photocopy of this?
To fill out a photocopy of this, follow the instructions provided on the form or document and provide accurate information.
What is the purpose of a photocopy of this?
The purpose of a photocopy of this is to maintain records and documentation for future reference or verification.
What information must be reported on a photocopy of this?
The specific information required to be reported on a photocopy of this will vary depending on the document or form being copied.
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