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5215 Old Highway 11 Suite 80 Hattiesburg MS 39402 6012619899 fax (601)2680376 Gary D. Carr, M.D., Medical Director Donna Young, Executive DirectorRE: PHN has the above participants consent to request
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The reporting form providers updated refers to an official document required by regulatory bodies that captures specific information regarding providers of services or goods for compliance and reporting purposes.
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Any service provider or entity that falls under the jurisdiction of the regulatory body requiring the reporting form must file it. This typically includes healthcare providers, suppliers, and contractors involved in applicable programs.
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The information that must be reported typically includes provider identification details, services offered, billing information, compliance with standards, and any relevant financial data.
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