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Form CMS-10276 Self Nomination
Physician Quality Reporting System (PQRS) (CMS-10276)
Screen Shot - Self-nomination Form
Qualified Registry or QCDR Vendors - Self Nomination
OMB: 0938-1059
OMB.report
HHS/CMS
OMB 0938-1059
ICR 201511-0938-008
IC 201578
Form CMS-10276 Self Nomination
( )
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application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Mitch Bryman
File Modified
0000-00-00
File Created
2021-01-24
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