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1/13/2009 11:26:24 PM

Manufacturer Data Extract

Label Code:
Manufacturer Name:
City:
State:
Zip:
Contact Name:

Output Type:

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Report File (Additional Contact and Shipping information)


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OPA Termination Date	Before After Between	(mm/dd/yyyy)	and

CMS Termination Date	Before After Between	(mm/dd/yyyy)	and

Signed Date	Before After Between	(mm/dd/yyyy)	and

Most Recent Edit Date	Before After Between	(mm/dd/yyyy)	and