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VA Form 10091, VA FSC VENDOR FILE REQUEST FORM FSC, VENDOR, FILE, 10091
- Provide previous address city state and zip code. REQUIRED FOR ADDRESS CHANGES EFT/ACH REQUIRED IAW 31CFR Part 208 22. GOV Required IAW FAR 4. 1102 STATION CONTACT DUNS NUMBER STATION PHONE NUMBER STATION EMAIL ADDRESS DUNS 4 SSN/TIN PAYEE/VENDOR TYPE Select one NPI C - COMMERCIAL/ALAC F - FEDERAL AGENCY FACTS ID E - EMPLOYEE O - FOREIGN I - INDIVIDUAL/HONORARIUM A - AGENT CASHIER V - VETERAN U - UTILITY CAREGIVER MEDICAL PROVIDER MISCELLANEOUS ACTIONS Select one ASSIGNMENT OF CLAIMS WINRS...Show details
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