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MANUAL TITLE: PHYSICIANPRACTITIONER APPENDIX D, SERVICE AUTHORIZATION 12/2/2022REVISION DATE:___APPENDIX D SERVICE AUTHORIZATION INFORMATIONMANUAL TITLE: PHYSICIANPRACTITIONERPAGE 1APPENDIX D, SERVICE

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What is manual title physician-practitioner?

The manual title physician-practitioner refers to a formal classification or designation for healthcare providers who are licensed to practice medicine and are responsible for patient care.

Who is required to file manual title physician-practitioner?

Healthcare providers who hold the title of physician or practitioner are required to file as manual title physician-practitioner.

How to fill out manual title physician-practitioner?

To fill out the manual title physician-practitioner, you should provide your personal information, professional credentials, practice details, and any relevant licensing or certification numbers on the designated form.

What is the purpose of manual title physician-practitioner?

The purpose of the manual title physician-practitioner is to ensure proper designation and accountability of healthcare providers in the medical field.

What information must be reported on manual title physician-practitioner?

Information that must be reported includes the physician's name, practice address, medical license number, and details of the medical services provided.

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