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The document is a Continuing Education Credit Report form from the New York State Department of Health, specifically for Nursing Home Administrators. It outlines the requirements for reporting Continuing Education (CE) credits necessary for license renewal or reactivation, including sections to list CE programs attended, their sponsors, approval numbers, and total hours completed. The form must be signed by the licensee and submitted to the Board of Examiners of Nursing Home Administrators.

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2007	4.8 Satisfied (106 Votes)

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