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: License Information & Upload License
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I am a:
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Prescriber
Agent
Providing Facility
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I work at a:
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Physician Office
Home Infusion Therapy Agency
Specialty Pharmacy
Outpatient Facility
Dialysis Center
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Prescriber or Provider you are adding must be registered in ExpressPAth Provider Portal.
Add for an existing physician
NPI:
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*
OR
First Name:
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*
Last Name:
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*
OR
Facility Name:
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The Personal Provider Identifier (PPI) is a unique identification number for individual healthcare providers such as physicians, physician assistants, and nurse practitioners
Prescriber - Search:
Search for an existing Prescriber:
NPI:
*
*
OR
First Name:
*
*
Last Name:
*
*
OR
Facility Name:
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*
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NPI already in use. Please provide different NPI or search existing prescriber(s).
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Rendering Provider - Search:
Search for an existing rendering provider:
NPI:
*
*
OR
First Name:
*
*
Last Name:
*
*
OR
Facility Name:
*
*
Page
of
Use
to view more records and
to view previous records.
NPI already in use. Please provide different NPI Or use search existing rendering provider(s).
OK
You are attempting to remove a selected prescriber/provider from the list of requested associations. Do you want to proceed?
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Please enter at least one of NPI,DEA,State License Number.
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