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Get and Sign Anthem W 2008-2022 Form

Get and Sign Anthem W 2008-2022 Form

Use a anthem w9 form 2008 template to make your document workflow more streamlined.

__ __ __ __ __ (Do Not Provide Both Numbers) __ __ __ - __ __ - __ __ __ __ Dental License Number: National Provider Identification (NPI) Number: (NPI Number is required for all HIPAA transactions. If you have not already registered for an NPI number- Please register at http://www.cms.hhs.gov/NationalProvIdentStand/ or contact the CMS HIPAA Hotline at (866) 282-0659) * If Claims Are To Be Submitted Under Associate’s Names, Please Complete One W-9 Form for Each Associate Please check...
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