Cms 671 Form
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F4 (Mm/Dd/Yyyy) Name Of Facility Provider Number.
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Web the form cms 671 is a tax form created by the irs that can be used to claim credits or refunds. First page collects facility specific information related to type of services provided and facility characteristics The following provides access and/or information for many cms forms. F5 (mm/dd/yyyy) street address city.
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