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Form CMS-10114 NPI Application and Update Form
National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 (CMS-10114)
CMS-10114
National Provider Identifier (NPI) Application and Update Form
OMB: 0938-0931
OMB.report
HHS/CMS
OMB 0938-0931
ICR 202404-0938-002
IC 179125
Form CMS-10114 NPI Application and Update Form
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0931 can be found here:
2024-11-05 - Reinstatement with change of a previously approved collection
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