CMS-1696 Appointment of Representative (Vietnamese)

Appointment of Representative and Supporting Regulations in 42 CFR 405.910 (CMS-1696)

CMS-1696 Appointment of Representative_Vietnamese

Appointment of Representative (Provider Supplier)

OMB: 0938-0950

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleChỉ định Người Đại Diện
SubjectAppointment of Representative, Chỉ định Người Đại Diện
AuthorCenters for Medicare and Medicaid Services
File Modified0000-00-00
File Created2025-08-06

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