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AGENCY OF HUMAN SERVICES DEPARTMENT OF DISABILITIES, AGING AND INDEPENDENT LIVINGDivision of Licensing and Protection HC 2 South, 280 State Drive Waterbury VT 056712060 http://www.dail.vermont.gov
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Provider ID 475045 is a unique identification number assigned to a specific healthcare provider for identification and billing purposes.
Healthcare providers, including hospitals, clinics, and individual practitioners, who render services and are eligible for reimbursement must file provider ID 475045.
To fill out provider ID 475045, providers should obtain the official form, ensure all required information such as personal details, practice information, and services offered are accurately completed, and submit it as per the guidelines provided.
The purpose of provider ID 475045 is to facilitate the identification of healthcare providers during insurance billing, ensuring accurate processing of claims and reimbursements.
The information that must be reported includes the provider's name, address, contact details, type of services rendered, and any relevant certifications or licenses.
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