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BOTH SIDES OF CLAIM FORM MUST BE COMPLETED AND RETURNED WITH ITEMIZED BILLS WITHIN 30 DAYSMAIL TO: Administrative Concepts, Inc. P.O. Box 4000 Collegeville, PA 194269000 www.acitpa.comEDI PAYOR ID#
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How to fill out no and street
01
Write the building number in the 'No' field.
02
Write the name of the street in the 'Street' field.
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What is no and street?
No and street refer to the house number and street name that a business or individual resides at.
Who is required to file no and street?
Anyone who has a physical address is required to provide their house number and street name.
How to fill out no and street?
You can fill out the no and street by entering your house number followed by your street name in the appropriate fields.
What is the purpose of no and street?
The purpose of providing the house number and street name is to accurately identify the location of a residence or business.
What information must be reported on no and street?
The information reported on no and street should include the specific house or building number along with the name of the street.
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