PROVIDER PARTICIPATION AGREEMENT Please review, sign page 5 and return to Laura Locicero at fax (516) 465-8002, or send a signed, scanned document to ciipa@nshs.edu.
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http://employees.nslijweb.com/ipa/materials/IPA%20Provider%20Participation%20Agreement%2011-4-08.docUnless the owner has removed it from the web, you can access the full document via its original URL:
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