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FORM 4UNITED STATES SECURITIES AND EXCHANGE COM M MISSION
OMB APPROVAL
Washington, D.C. 20549
OMB
3235Number:
0287
Check this box if no
STATE ENT OF CHANGES IN BENEFICIAL OWNERSHIP OF Expires: November
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1500 options will be a form used to report healthcare services provided to Medicare beneficiaries.
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Healthcare providers who offer services to Medicare beneficiaries are required to file 1500 options.
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