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Facility/Provider Facility ID (PCI) Facility Address Facility Telephone Operating Certificate # Name and Email of Facility Contact Person Date Mount Sinai Beth Israel 1439 First Avenue at 16th Street
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Attachment covers are supplemental documents that accompany a primary filing, providing additional details or clarifications required for compliance with regulatory or organizational standards.
Individuals or entities submitting official documents, such as tax returns or compliance forms, may be required to file attachment covers if additional information is necessary to complete the submission.
To fill out attachment covers, one must complete the designated fields with accurate information, including identification details, relevant dates, and explanatory notes regarding the attachments included.
The purpose of attachment covers is to ensure that all necessary information is present and properly organized, facilitating the review and processing of the primary documents submitted.
Attachment covers must report the names of the filer, the title of the primary document, any associated reference numbers, and a list or description of the attachments included.
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