Form 35 Account Discrepancy

National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: 45 CFR Part 60 Regulations and Forms

Account Discrepancy

Account Discrepancy

OMB: 0915-0126

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Account Discrepancy Form


File Typeapplication/pdf
File TitleAccount Discrepancy Form
AuthorHealth Resources and Services Administration
File Modified2023-06-12
File Created2023-04-17

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