![Presidency of Lyndon B. Johnson / Identifiers / Medicine / Unique physician identification number / Medicare / Medicaid / Emergency medical services / National Provider Identifier / Health Insurance Portability and Accountability Act / Healthcare reform in the United States / Health / Federal assistance in the United States Presidency of Lyndon B. Johnson / Identifiers / Medicine / Unique physician identification number / Medicare / Medicaid / Emergency medical services / National Provider Identifier / Health Insurance Portability and Accountability Act / Healthcare reform in the United States / Health / Federal assistance in the United States](https://www.pdfsearch.io/img/a7057ff1c73249513437cb4ce06f3ab3.jpg) Date: 2013-11-18 14:11:40Presidency of Lyndon B. Johnson Identifiers Medicine Unique physician identification number Medicare Medicaid Emergency medical services National Provider Identifier Health Insurance Portability and Accountability Act Healthcare reform in the United States Health Federal assistance in the United States | | Please check one. directions for completing this form begin on page 3. New Application Change Request Voluntary TerminationAdd to Reading ListSource URL: www.cms.govDownload Document from Source Website File Size: 160,44 KBShare Document on Facebook
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