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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15573011/24/2020FORM
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Provider number 155730 is a unique identifier given to a specific healthcare provider.
Healthcare providers who are enrolled in the Medicare program are required to file provider number 155730.
Provider number 155730 can be filled out by submitting the necessary information to the appropriate Medicare office.
The purpose of provider number 155730 is to track and identify healthcare providers participating in the Medicare program.
Provider number 155730 requires information such as the provider's name, address, contact information, and specialty.
The penalty for late filing of provider number 155730 may result in fines or suspension from the Medicare program.
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