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Get TX Solo Provider Record ID Information Form Packet 2018-2024

Nal provider A provider who will be using his/her social security number (SSN) for tax purposes A provider whose Federal Tax Identification Number (TIN) is legally in the provider s name A provider who is not incorporated The attached packet contains all of the forms that are required to be completed to assign a Blue Cross and Blue Shield of Texas (BCBSTX) internal Solo Provider Record ID. Please fully complete all applicable information in its entirety and forward the completed pa.

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