فرم ارسال NPI - پزشک فردی.pdf

NPI-Submission-Form-Individual-Practitioner.pdf
Preview of فرم ارسال NPI - پزشک فردی
🔗 Source: s18637.pcdn.co
📊 Size: 192 KB
👤 Author: jfriend
⬇️ Downloads: 55

Summary

The text appears to be a form for healthcare providers to submit or update their information, including identifying details, address, and taxonomy codes, with sections for initial submission, change of information, and deactivation of NPI number, as well as a signature section for individual practitioners.

Description

The text appears to be a form for healthcare providers to submit or update their information, including identifying details, address, and taxonomy codes, with...

Technical Information

  • File Format: PDF
  • File Size: 192 KB
  • Pages: 1
  • Language: EN
  • Author: jfriend
  • Total Downloads: 55
  • Last Updated: 2 months ago

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