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11/19/2019PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Provider number 155582 is a unique identifier assigned to a specific healthcare provider.
Healthcare providers who are registered under the specific provider number are required to file it.
Provider number 155582 should be filled out with accurate and up-to-date information about the healthcare provider.
The purpose of provider number 155582 is to track and identify the specific healthcare provider for billing and reporting purposes.
Information such as services provided, patient demographics, and billing details must be reported on provider number 155582.
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