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LIP COST LIMIT _ REPORTING DATA_DRAFT.xls
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Document Date: 2006-11-22 13:08:57

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File Size: 39,93 KB

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Company

Non-Hospital Services / /

Facility

Hospital OP Care Includes / Hospital Outpatient / HOSPITAL XYZ Provider Number FYE / Pharmacy Services / Hospital Services Underinsured Federally Qualified Health Centers / Hospital Ancillary Care / /

Organization

County Health Department / Medicare / /

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Position

Colonel / Care/Preventative Care Visit Specialist / /

Product

Olympus E-3 Digital Camera / Medicaid Primary Care / /

Technology

X-Ray / /

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