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CMS-855S
ICR 202309-0938-006 · OMB 0938-1056 · Object 135276400.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | CMS-855S |
| Subject | MEDICARE ENROLLMENT APPLICATION, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers, CMS form, f |
| Author | Centers for Medicare and Medicaid Services |
| File Modified | 2022-01-11 |
| File Created | 2019-05-28 |
| Conversion State | failed_conversion |