![Identifiers / National Provider Identifier / Health / Government / Medicaid / Medical record / Medicare / Medicine / Federal assistance in the United States / Healthcare reform in the United States / Presidency of Lyndon B. Johnson Identifiers / National Provider Identifier / Health / Government / Medicaid / Medical record / Medicare / Medicine / Federal assistance in the United States / Healthcare reform in the United States / Presidency of Lyndon B. Johnson](https://www.pdfsearch.io/img/20636eb366f17186f209bb4f33dd29c6.jpg) Date: 2014-03-28 14:39:34Identifiers National Provider Identifier Health Government Medicaid Medical record Medicare Medicine Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson | | PROVIDER ENROLLMENT REQUIRED DOCUMENTS CHECKLIST DEPARTMENT OF HUMAN SERVICES MEDICAL SERVICES DIVISION DN[removed]The following documents are needed to finalize your enrollment.
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