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Petition to Amend Certificate of Need Unselective Percutaneous Coronary Interventions July 8, 2019 1. Name and Address of PetitionersHarborview Medical Center 325 9th Ave., Seattle, WA 98104 (206)
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Fill out the petitioner's information including name, address, and contact details.
02
Provide details about the current certificate that needs to be amended such as certificate number and date issued.
03
Clearly state the reason for the requested amendment and provide any supporting documents or evidence.
04
Sign and date the petition before submitting it to the appropriate authority for review.

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Individuals or organizations who have a certificate that contains errors or outdated information may need to fill out a dohwagovyakimavalleymempciruleamendpetpetition to amend certificate.
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The dohwagovyakimavalleymempciruleamendpetpetition to amend certificate is a form that must be submitted to request changes to an existing certificate.
Any individual or organization seeking to make amendments to a certificate is required to file the dohwagovyakimavalleymempciruleamendpetpetition.
The dohwagovyakimavalleymempciruleamendpetpetition to amend certificate must be completed with accurate information about the requested changes and submitted according to the instructions provided.
The purpose of the dohwagovyakimavalleymempciruleamendpetpetition is to officially request modifications to a certificate in order to reflect updated or corrected information.
The dohwagovyakimavalleymempciruleamendpetpetition must include details about the amendments being requested, as well as any supporting documentation.
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