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Health Care
Provider Name and
Provider
Phone:KICKEMUIT
MIDDLE SCHOOL
Health
Care Provider
Name:
Address525 CHILD STREET
PHONE:WARREN, RI 02885STATE OF RHODE ISLAND
SCHOOL PHYSICAL FORM
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01
To fill out the provider name, follow these steps:
02
Locate the field where the provider name needs to be entered.
03
Enter the name of the provider exactly as it appears, ensuring correct spelling and formatting.
04
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Who needs provider name and?
01
Provider name is required for various purposes, including but not limited to the following:
02
- Healthcare organizations and hospitals need provider names for medical record-keeping and billing purposes.
03
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04
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06
- Research institutions and academic organizations may require provider names for study participants.
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What is provider name and?
Provider name and refers to the name of the entity or individual who is providing a service or goods.
Who is required to file provider name and?
Any entity or individual who is providing a service or goods is required to file provider name and.
How to fill out provider name and?
Provider name and can be filled out by providing the name of the entity or individual providing the service or goods in the designated field.
What is the purpose of provider name and?
The purpose of provider name and is to identify the entity or individual providing the service or goods.
What information must be reported on provider name and?
The information that must be reported on provider name and includes the name of the provider and the service or goods being provided.
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