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Complete the Application for Registration as a Nursing Home Administrator, ensuring all sections are filled and notarized according to NYS guidelines.
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DOH-642 is a form used for reporting health care provider/health care facility charges and services.
Health care providers and health care facilities are required to file DOH-642.
DOH-642 can be filled out electronically or manually, following the instructions provided by the Department of Health.
The purpose of DOH-642 is to collect data on health care provider and facility charges and services for analysis and planning purposes.
Information such as charges for services, number of patients served, and types of services provided must be reported on DOH-642.
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