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Completing the Enrollment Application for Clinics/Group Practices and Certain Other Suppliers (CMS855B Form) Attachment 1 Attachment 1 contains the following sections listed below. Please scroll down
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Completing the Enrollment Application for Clinics/Group Practices and Certain Other Suppliers (CMS-855B ) - Attachment 1 template instructions

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Completing the enrollment application involves providing all necessary information and submitting the required documents to officially enroll in a program or institution.
Anyone who wishes to enroll in a program or institution is required to complete the enrollment application.
To fill out the enrollment application, one must accurately provide personal information, academic history, and any other required details as requested by the institution.
The purpose of completing the enrollment application is to formally register and become a student or member of a specific program or institution.
The information reported on the enrollment application typically includes personal details, academic background, contact information, and any other relevant data requested by the institution.
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