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COMMONWEALTH of VIRGINIA Department of Medical Assistance ServicesAddiction and Recovery Treatment Services (ARTS) Office Based Opioid Treatment (ROBOT) Provider Attestation and Application Must accompany
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Legal name of physician refers to the official name by which a physician is registered or licensed to practice medicine.
Healthcare institutions or organizations that employ or contract with the physician are typically required to file the legal name of the physician.
The legal name of the physician should be completed accurately and in full, using the physician's full name as it appears on their medical license or registration.
The purpose of collecting the legal name of physician is to ensure proper identification and credentialing of healthcare providers within the healthcare system.
The legal name of physician typically includes the physician's first name, middle name (if applicable), last name, and any relevant suffixes or titles.
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