Example: dental hygienist
CHDP PROVIDER DATA SHEET - California …

CHDP PROVIDER DATA SHEET - California …

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B. - Change - Enter code “B” when there is a change to the name, address, phone, email, category, CLIA, tax ID or provider type. C. - Inactivate - Enter code “C” when inactivating a legacy provider number/ NPI or a single location that has more than one location under the same NPI.

  Name, Code, Sheet, Data, Provider, Chdp, Chdp provider data sheet

Download CHDP PROVIDER DATA SHEET - California …


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