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TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)

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TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
- UB-04 Hospital Claim Form for Laser Printers
- Approved OMB NO: 0938-0997
- 2,500 Sheets
- Accommodate the reporting of the National Provider Identifier (NPI) Number
UB-04 Hospital Claim Form Laser-Cut Sheet (2,500/case) Printed in OCR red "dropout" ink 20# Environmental Paper Alliance (EPA) Recycled Paper (White) 2,500/case
Country USA
Brand The Filing Supplies Shop
Manufacturer TFP Data Systems
ItemPartNumber UB04LC
Model 8555
Color White
Size in
UnitCount 2500
ReleaseDate 0000-00-00

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Country	USA
Brand	The Filing Supplies Shop
Manufacturer	TFP Data Systems
ItemPartNumber	UB04LC
Model	8555
Color	White
Size	in
UnitCount	2500
ReleaseDate	0000-00-00