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Horizon Cardiology1014 Saddle River Road Fair Lawn, NJ 07410 Tel (551) 2463008 Fax (201) 7031100PHARMACY NAME: ADDRESS: STATE: CITY: OPCODE: PHONE NUMBER: PATIENT NAME:
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To fill out NPI PG 01pdf, follow these steps: 1. Access the NPI PG 01pdf form online or print a hard copy of the form.
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Begin by providing your personal information, such as your name, date of birth, and contact details.
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Next, provide your professional information, including your NPI number, specialty, and practice location.
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If applicable, provide your group or organization information.
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Fill out the sections related to your patient care services, such as the services you provide and the number of patients you serve.
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NPI PG 01pdf is needed by healthcare providers who are required to obtain or update their National Provider Identifier (NPI).
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This form is typically used by individual healthcare practitioners, including physicians, nurses, dentists, therapists, and other eligible professionals.
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Organizations or group practices can also use this form to register or update their group NPI information.
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The NPI PG 01pdf form is used to collect essential information about healthcare providers and their practices, ensuring accurate identification, credentialing, and billing processes.
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NPI PG 01 PDF refers to a specific form related to the National Provider Identifier (NPI) system that is used by healthcare providers in the United States to apply for, update, or verify their NPI information.
Healthcare providers, including physicians, hospitals, and other entities that are covered under HIPAA, are required to file NPI PG 01 PDF to obtain or maintain their National Provider Identifier.
To fill out the NPI PG 01 PDF, providers should provide accurate demographic information, including name, date of birth, practice location, taxonomy codes, and other relevant details as outlined in the instructions accompanying the form.
The purpose of the NPI PG 01 PDF is to facilitate the application and maintenance process for the National Provider Identifier, which is essential for healthcare billing and electronic transactions.
Information that must be reported includes the provider's legal name, practice address, mailing address, date of birth, Social Security number, and taxonomy codes.
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