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PRINTED: 07/20/2020 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out provider number 155205
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Obtain the provider number 155205 form from the relevant authority or website.
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Who needs provider number 155205?
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Healthcare professionals, such as doctors, nurses, and other medical practitioners, who are required to register with the relevant authorities.
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What is provider number 155205?
Provider number 155205 refers to a unique identification number assigned to a specific healthcare provider.
Who is required to file provider number 155205?
Healthcare providers who are registered and authorized to provide medical services are required to file provider number 155205.
How to fill out provider number 155205?
Provider number 155205 should be filled out by entering all required information accurately and completely in the designated fields of the form.
What is the purpose of provider number 155205?
The purpose of provider number 155205 is to track and identify healthcare providers for billing, record-keeping, and regulatory purposes.
What information must be reported on provider number 155205?
Provider number 155205 may require reporting of personal information, credentials, practice location, specialty, and other relevant details about the healthcare provider.
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