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Al Provider Identifier (API) to provide their 9-digit zip code. If you do not know your 9-digit zip code, then please visit: http://zip4.usps.com/zip4/welcome.jsp. Please see instructions per service type. Fax: 1-877-OKBYFAX (877-652-9329) 1. New Request 2. Date of Request Cancel SRV AUTH# Transfer 3. Review Type: (Please Check One) (mm/dd/yyyy) / Phone: 1-888-827-2884 Change SRV AUTH# Waiver Enrollment / 4. Member Medicaid ID Number: Waiver Enrollment-Retrospective Review (Date Noti.

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