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2018 Annual Radiation Therapy Services Survey
Part A : General Information1. Identification:Facility Name:
County:
Street Address:
City:
Zip:
Mailing Address:
Mailing City:
Mailing Zip:
Medicaid Provider
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What is mailing services - form?
The mailing services form is a document used to report information about mailing services provided.
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Businesses and individuals who provide mailing services are required to file the mailing services form.
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