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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:07/25/2013FORM
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What is 004904 provider nu?
004904 provider nu is a unique identifier assigned to healthcare providers for billing purposes.
Who is required to file 004904 provider nu?
Healthcare providers who bill for services are required to file 004904 provider nu.
How to fill out 004904 provider nu?
To fill out 004904 provider nu, healthcare providers need to include the required information such as name, address, and contact information.
What is the purpose of 004904 provider nu?
The purpose of 004904 provider nu is to facilitate accurate billing and identification of healthcare providers.
What information must be reported on 004904 provider nu?
Information such as provider name, address, National Provider Identifier (NPI), and Tax Identification Number (TIN) must be reported on 004904 provider nu.
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