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MEDICARE FORM to Be Completed by the Following Specialties

MEDICARE FORM to Be Completed by the Following Specialties

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TORRANCE MEMORIAL MEDICAL CENTER Tax Identification Number TIN Medicare Identification Number PTAN if issued National Provider Identifier NPI 951644042 M050351 1477502797 B. 7701 of the DCIA Pub. L. 04 134 as amended. PECOS. PECOS will collect information provided by an applicant related to identity qualifications practice locations ownership billing agency information reassignment of benefits electronic funds transfer the NPI and related organizations. Individual Practitioner Identification is...
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