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Statement for Medicare Electronic Data Interchange (EDI) Registration and Electronic Data Interchange Enrollment Form
ICR 201902-0938-005 · OMB 0938-0983 · Object 89011001.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Statement for Medicare Electronic Data Interchange (EDI) Registration and Electronic Data Interchange Enrollment Form |
| Subject | Statement for Medicare Electronic Data Interchange (EDI) Registration and Electronic Data Interchange Enrollment Form |
| Author | CMS |
| File Created | 2021-01-15 |
| Conversion State | partial |