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MAILING ADDRESS/ PRACTICE LOCATION CHANGE Forenamed Insured(s) Type of Policy: Professional LiabilityPolicy Number Workers Compensation Policy Number Property (mailing address changes only)Policy
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What is MAILING ADDRESS/ PRACTICE LOCATION CHANGE Form?

The MAILING ADDRESS/ PRACTICE LOCATION CHANGE is a fillable form in MS Word extension you can get filled-out and signed for certain purposes. Next, it is furnished to the relevant addressee to provide some info and data. The completion and signing can be done manually or via a suitable application e. g. PDFfiller. These applications help to complete any PDF or Word file online. It also allows you to edit it depending on the needs you have and put legit electronic signature. Upon finishing, the user sends the MAILING ADDRESS/ PRACTICE LOCATION CHANGE to the recipient or several ones by email and also fax. PDFfiller offers a feature and options that make your document of MS Word extension printable. It offers a number of settings for printing out appearance. It doesn't matter how you'll distribute a document - in hard copy or electronically - it will always look professional and clear. In order not to create a new document from the beginning over and over, turn the original file as a template. Later, you will have a customizable sample.

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The mailing address practice location is the address where a healthcare provider receives mail related to their practice.
All healthcare providers who have a practice location are required to file their mailing address practice location.
You can fill out your mailing address practice location by logging into the designated platform and updating your address details.
The purpose of the mailing address practice location is to ensure that important mail related to the provider's practice is delivered to the correct address.
The information that must be reported includes the provider's name, practice location address, and contact information.
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