IL_Fee_IPH.OPH2_Renewal_20230101-20231231
File - Approval Letter Media
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IL_Fee_IPH.OPH_Renewal_20230101-20231231
File - Approval Letter Media
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State
Payment Type
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GA_VBP.Fee_IPH.OPH_Renewal_20230701-20240630
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State
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Provider Class
Review Type
Approval Period
GA_Fee_IPH.OPH_Renewal_20230701-20240630
File - Approval Letter Media
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State
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Provider Class
Review Type
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CA_Fee_IPH.OPH.AMC.PC.SP.NF_Renewal_20230101-20231231
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State
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CA_Fee_Oth2_Renewal_20230101-20231231
File - Approval Letter Media
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State
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Provider Class
Review Type
Approval Period