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Get Anthem BCBS National Provider Identifier (NPI) Registration Form 2018-2024

Anthem Blue Cross and Blue Shield. Note: If you have already registered your NPI(s) with us, you need not reply to this communication. Please complete the applicable fields below that pertain to your practice or facility. Once completed, simply fax this form to us at 207-822-7726. Thank you for your prompt response to this request. Provider Name (physicians or professionals only) Practice or Facility Name* Anthem Provider ID Number* (13 positions) Tax ID Number* (9 positions) NPI* (10 posi.

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