Get the free PDF Health Care Provider Participation Form - Anchorage Project Access
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HEALTH CARE PROVIDER PARTICIPATION FORMINSTRUCTIONS: Form to be completed by health care provider and faxed to Anchorage Project Access at (907) 6460542. NAME OF PROVIDER: GROUP NAME: SCOPE OF PRACTICE/SPECIALTY:
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PDF health care provider is a document or form used to report information about health care providers.
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Health care providers or organizations that provide health care services are required to file PDF health care provider.
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