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600 City Parkway West Suite 800 Orange, CA 92868 8007083230 www.prospectmedical.comState License or Tax ID #: ___ Please rate the service you have received in the elements listed below Page 1 of 2 1 2 3 4 5 Extremely Unsatisfied Neither Satisfied Extremely SPECIALTY
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Prospect medical member ampamp is a form used to report information about medical members.
Healthcare providers or organizations with medical members are required to file prospect medical member ampamp.
Prospect medical member ampamp can be filled out electronically or manually by providing the requested information about medical members.
The purpose of prospect medical member ampamp is to collect data on medical members for regulatory and reporting purposes.
Information such as member demographics, medical history, and insurance coverage must be reported on prospect medical member ampamp.
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