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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:15580211/30/2020FORM
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How to fill out provider number 155802

How to fill out provider number 155802
01
Go to the official website of the regulatory body or organization that issues provider numbers.
02
Locate the section for filling out provider number applications.
03
Fill in the required information accurately, including personal details and any relevant qualifications.
04
Submit the application form as per the instructions provided by the regulatory body.
05
Wait for the verification and approval process to be completed.
Who needs provider number 155802?
01
Healthcare professionals such as doctors, nurses, therapists, and other medical practitioners who are required to have a provider number for billing purposes.
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What is provider number 155802?
Provider number 155802 is a unique identification number assigned to a specific healthcare provider.
Who is required to file provider number 155802?
Healthcare providers who are registered to use the provider number 155802 are required to file.
How to fill out provider number 155802?
To fill out provider number 155802, the healthcare provider must include all required information accurately and submit it to the appropriate authorities.
What is the purpose of provider number 155802?
The purpose of provider number 155802 is to track and identify specific healthcare providers for billing and record-keeping purposes.
What information must be reported on provider number 155802?
Provider number 155802 must include information such as the provider's name, contact information, services provided, and billing details.
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