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Authorization Number :
440-0331
Agency Series No. :
14-02-HFR
Status :
Active
Agency Web Link :
Agency :
DOH
Confidential Description :
Division :
DOH3013
Vital Description :
Section :
Record Title :
HMO Service Area Expansion or Major Modi
Revision :
0
Record Description :
Contains information provided by HMO's which document what services the HMO wishes to provide in additional service areas or any changes in provided services.
Retention Period
Retention Justification
Media Code
Method of Disposal
Retain for 2 years, then destroy.
Paper
Wastepaper
Approvals
Status
Name
Title
Date
Approved
Transfer User
Records Viewer
7/27/1992 12:00:00 AM
Notes
Date
Reason
User
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