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PRINTED: 01/23/2019 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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What is provider number 15g387?
Provider number 15g387 is a unique identification number assigned to a specific healthcare provider.
Who is required to file provider number 15g387?
Healthcare providers who are registered with the appropriate governing body are required to file provider number 15g387.
How to fill out provider number 15g387?
Provider number 15g387 can be filled out by entering all required information accurately and completely on the designated form or online portal.
What is the purpose of provider number 15g387?
The purpose of provider number 15g387 is to track and identify healthcare providers for billing and administrative purposes.
What information must be reported on provider number 15g387?
Provider number 15g387 must include details such as the provider's name, contact information, specialty, and any relevant certifications.
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