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VACCINES FOR CHILDREN (VFC) PROGRAM 2018 …

State of California Health and Human Services Agency VACCINES FOR CHILDREN (VFC) PROGRAM 2018 VFC RECERTIFICATION WORKSHEET California Department of Public Health Page 1 of 4 IMM-1207 (12/17) Use this worksheet to gather information needed ahead of time to complete the online VFC Recertification Form on DO NOT SUBMIT THIS WORKSHEET TO THE VFC PROGRAM . Practice Information/Shipping Practice Name Contact Person PIN Practice Information/Shipping Address (No Box) Shipping Address, Part 2 County Registry ID City ZIP Employer Identification Number (EIN) National Provider Identifier (NPI) Phone Fax CHDP Provider?

State of California—Health and Human Services Agency VACCINES FOR CHILDREN (VFC) PROGRAM 2018 VFC RECERTIFICATION WORKSHEET California Department of …

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