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Medicare Outpatient Observation Notice
ICR 201612-0938-011 · OMB 0938-1308 · Object 69988701.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Medicare Outpatient Observation Notice |
| Author | xpiration xx/xx/xxxx OMB approval 0938-xxx |
| File Created | 2021-01-23 |
| Conversion State | partial |