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PROFESSIONAL LIABILITY INSURANCE (PA Physicians and Surgeons Application) PHYSICIANS INSURANCE CONSULTANTS 1540 BETHLEHEM PIKE FOURTEEN, PA 19031 2152334410 8004666906 FAX: 2152334409 To help us expedite
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Fill in the insurance details: Provide the necessary information regarding your insurance plan, including policy number, coverage type, and name of the insurance provider.
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It is a form for reporting insurance information for physicians.
Physicians and medical practitioners are required to file this form.
The form can be filled out online or by mail with accurate insurance information.
The purpose is to report insurance details for physicians for compliance purposes.
Insurance policy details, coverage information, and physician identification must be reported.
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