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Search results with tag "Npi application"
National Provider Identifier NPI Application/Update Form …
www.cms.govForm Approved OMB No. 0938-0931 Expires: 08/24. NATIONAL PROVIDER IDENTIFIER (NPI) APPLICATION/UPDATE FORM. INSTRUCTIONS FOR COMPLETING THE NATIONAL PROVIDER IDENTIFIER (NPI) APPLICATION/UPDATE FORM. Please PRINT or TYPE all information so it is legible. Use only blue or black ink. Do not use pencil. Failure to provide …
NATIONAL PROVIDER IDENTIFIER (NPI) …
www.cms.govchanges in this form within 30 days of the effective date of the change. • I have read and understand the Penalties for Falsifying Information on the NPI Application/Update Form as printed in this ... (See the instructions for completing the NPI application/update form to find the information that is voluntary or mandatory.)