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Form CMS-1856
ICR 202108-0938-005 · OMB 0938-0065 · Object 113940501.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Form CMS-1856 |
| Subject | REQUEST FOR CERTIFICATION IN THE MEDICARE AND/OR MEDICAID PROGRAM |
| Author | CMS |
| File Modified | 2021-05-11 |
| File Created | 2017-10-02 |
| Conversion State | complete |