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CERTIFICATION STATEMENT FOR PROVIDER BILLING …

CERTIFICATION STATEMENT FOR PROVIDER BILLING …

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services and supplies provided including all records which are necessary to disclose fully the extent of care, services and supplies provided to individuals under the New York State Medical Assistance Program will be kept for a period of six years from the date of payment, and such records and ... seal or stamp on this document. The notary's ...

  Supplies, Stamp

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