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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:15537404/08/2014FORM
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To fill out provider number 155374, follow these steps: 1. Open the provider registration form.
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Provider number 155374 is needed by individuals or organizations who are applying for registration as a provider in a specific system, program, or platform.
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Provider number 155374 is a unique identification number assigned to a specific healthcare provider.
Healthcare providers who are registered with the relevant regulatory body are required to file provider number 155374.
Provider number 155374 can be filled out by submitting the required information online through the designated portal.
The purpose of provider number 155374 is to track and identify healthcare providers for regulatory and billing purposes.
Provider number 155374 requires basic information such as provider name, address, contact details, and specialty.
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