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State of Rhode Island Division of TaxationForm HCP4 13112399990101Hospital Licensing Fee Report Name Federal employer identification numberAddressFor the period ending:June Report July Remittance

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Step 1: Obtain a blank HCP-4 - RI form.

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Individuals who are seeking medical treatment or consultation from a healthcare provider in Rhode Island may need to fill out form HCP-4 - RI.

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What is form hcp-4 - ri?

Form HCP-4 is a document used for reporting healthcare provider information in Rhode Island.

Who is required to file form hcp-4 - ri?

Healthcare providers in Rhode Island are required to file form HCP-4.

How to fill out form hcp-4 - ri?

Form HCP-4 can be filled out online on the Rhode Island Department of Health website.

What is the purpose of form hcp-4 - ri?

The purpose of form HCP-4 is to gather information about healthcare providers practicing in Rhode Island.

What information must be reported on form hcp-4 - ri?

Form HCP-4 requires healthcare providers to report their contact information, license details, and practice location.

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