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1. CONTRACT ID CODEPENDENT OF SOLICITATION/MODIFICATION OF CONTRACT
2. AMENDMENT/MODIFICATION NO.3. EFFECTIVE DATE0003
6. ISSUED PAGE OF PAGESJ165. PROJECT NO.(If applicable)4. REQUISITION/PURCHASE
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Any healthcare provider or entity that is participating in the procurement process for the w81k04-21-r-0004 healthcare contract would need to fill out attachment 5.
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Attachment 5 w81k04-21-r-0004 healthcare is a form used to report healthcare information to the appropriate authorities.
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