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Provider Speciality —Please choose an option—Primary Care PhysiciansSpecialistsNurse Practitioners (NPs) and Physician Assistants (PAs)SurgeonsDentists and OrthodontistsNursesPharmacistsPhysical Therapists (PTs) and Occupational Therapists (OTs)Psychologists and PsychiatristsChiropractorsOptometrists and OphthalmologistsMidwivesRadiologistsEmergency Medical Technicians (EMTs) and ParamedicsSocial WorkersHome Health Aides and Personal Care AssistantDietitians and NutritionistsSpeech-Language PathologistsPodiatristsGuancologistOrthopedicOther
Number of Providers Pick List —Please choose an option—1 Provider2 Providers3-5 Providers6-10 ProvidersMore than 10 Providers
I am a.. —Please choose an option—BillerBilling Biller CompanyHealthcare ProviderPractice ManagerOwner/C-Level EmployeeOther StaffStudent/EducatorPatientPhysicianProvider (MD,DO, DDS, etc.)Non-Physician Provider (PA, NP, RN)Therapist (Mental Health, PT, OT, SLP)Front Office ManagerBilling Company ACOSoftware/IT ConsultantOther
Provider Type —Please choose an option—Primary Care PhysiciansSpecialistsNurse Practitioners (NPs) and Physician Assistants (PAs)SurgeonsDentists and OrthodontistsNursesPharmacistsPhysical Therapists (PTs) and Occupational Therapists (OTs)Psychologists and PsychiatristsChiropractorsOptometrists and OphthalmologistsMidwivesRadiologistsEmergency Medical Technicians (EMTs) and ParamedicsSocial WorkersHome Health Aides and Personal Care AssistantDietitians and NutritionistsSpeech-Language PathologistsPodiatristsGuancologistOrthopedicOther
Practice Collection —Please choose an option—0-$50,000$50,001-$100,000$100,000+
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