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HEPATITIS C VIRUS SPECIALTY CARE PROGRAM 2 PRESCRIBER INFORMATION:1 PATIENT INFORMATION:Name: Name: Address: Address: City: State: Zip: City: State: Zip: Phone: Alt. Phone: Phone: Fax: Email: NPI:
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Date of diagnosis 070 refers to the date on which a specific medical condition was diagnosed.
Healthcare providers or medical facilities responsible for diagnosing the condition are required to file date of diagnosis 070.
Date of diagnosis 070 should be filled out accurately with the exact date the medical condition was diagnosed.
The purpose of date of diagnosis 070 is to track when a specific medical condition was diagnosed for medical and administrative purposes.
The information reported on date of diagnosis 070 should include the specific date when the medical condition was diagnosed.
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