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OfficeofMedicaid BOARDOFHEARINGS AppellantNameandAddress: AppealDecision:DeniedAppealNumber:1507080DecisionDate:7/20/15HearingDate:06/30/2015HearingOfficer:Paul. MooreRecordOpen Date:07/07/2015 AppearancesforAppellant:
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Organization mcorepresentatives are individuals designated to represent an organization.
Any organization that needs to designate representatives to act on its behalf.
Organization representatives can be filled out by providing the required information of the designated individuals.
The purpose of organization representatives is to have designated individuals authorized to act on behalf of the organization.
Information such as the name, contact information, and role of the designated representatives.
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