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Billable Amount: $ Billable: $ VIA OF MD SUPPLY ORDER FORM Date of Order: / / Trunk SupplyTotal: $ Order #: (SUPPLY LINE# 4102774248) (FAX# 4105942666)Visit Date: / / (Must state visit date)Patient
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VNA of MD Supply stands for Vendor Notification of Address of Medical Device Supply.
Any vendor who supplies medical devices is required to file the VNA of MD Supply.
VNA of MD Supply can be filled out online through the designated platform or submitted via mail.
The purpose of VNA of MD Supply is to keep track of the address information of vendors supplying medical devices for regulatory and communication purposes.
The VNA of MD Supply form typically requires the vendor to provide their company name, address, contact information, and details of the medical devices supplied.
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