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Department of Social Services CHILD CARE PROVIDER FORM CHILD DAY CARE SUBSIDIES 10 County Center Road 2nd Floor White Plains, New York 10607Provider MUST complete this form. It will establish that
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Healthcare providers who want to apply for certification as a critical care provider need form 536 cc provider.
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Form 536 cc provider is a form used to report information about providers of services covered by a consumer contract.
Providers of services covered by a consumer contract are required to file form 536 cc provider.
Form 536 cc provider can be filled out by providing the required information about the provider of services covered by a consumer contract.
The purpose of form 536 cc provider is to ensure that information about providers of services covered by a consumer contract is reported accurately.
Form 536 cc provider requires information such as the provider's name, address, services provided, and contract details.
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