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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICESForm Approved OMB No. 09380950APPOINTMENT OF REPRESENTATIVE Name of Party Medicare Number (beneficiary as party) or

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What is any notice in connection?

Any notice in connection is a formal notification or disclosure required to be submitted in relation to a specific matter.

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The purpose of the notice is to ensure transparency, compliance, and communication in relation to the specific matter.

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