You should complete the patient and physician information. The patient information should be fake. For the physician information, utilize your own physician or a local physician, looking this up using the NPPES site. If you’re having trouble editing the document, please watch this short video that shows how to do so:
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Adam recommends using the Ancillary Services to assist in “opening the door” to communication with potential clinics. When receiving leads, Ancillary Services could be used
You can enter your information or make up information for a fake person. We just want to make sure you know how to fill out
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