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State of Oklahoma Health Care AuthorityBotulinum Toxins Prior Authorization Form BILLING INFORMATION Member Name: Date of Birth: Weight: Member ID#: HOPES Code: CPT Code: Dose: Frequency: Start Date:
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21180 - russianshipsinfo is a form used to report information about Russian ships.
Any entity or individual who has dealings with Russian ships may be required to file 21180 - russianshipsinfo.
21180 - russianshipsinfo should be filled out accurately and completely with all required information about Russian ships.
The purpose of 21180 - russianshipsinfo is to provide information about Russian ships for regulatory and compliance purposes.
Information such as ship name, registration number, owner details, and any relevant transactions with Russian ships must be reported on 21180 - russianshipsinfo.
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