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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
OMB.report
HHS/HSA
OMB 0915-0126
ICR 202310-0915-003
IC 214937
Form 35 Account Discrepancy
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Account Discrepancy Form
File Type
application/pdf
File Title
Account Discrepancy Form
Author
Health Resources and Services Administration
File Modified
2023-06-12
File Created
2023-04-17
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