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IMPACT APPLICATIONS, INC. SERVICES AGREEMENT (Healthcare Provider with CIC option)This SERVICES AGREEMENT (the Agreement) is made and entered into as of this day of, 2017 (the Effective Date) by and
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Healthcare provider with CIC stands for Healthcare Provider with Common Identifier Code. It is a form used to report information about healthcare providers.
Healthcare providers are required to file healthcare provider with CIC.
Healthcare provider with CIC can be filled out online or by submitting a paper form with the required information.
The purpose of healthcare provider with CIC is to gather information about healthcare providers for regulatory and reporting purposes.
Information such as provider's name, address, contact information, specialty, and CIC code must be reported on healthcare provider with CIC.
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