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Georgia uniform healthcare practitioner credentialing application form ... 2025

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The document is the Florida Uniform Healthcare Practitioner Credentialing Application Form, which is designed for healthcare practitioners applying for credentialing with various healthcare entities. It consists of two main parts: Part One contains standardized questions required by healthcare entities, while Part Two includes additional questions specific to health plans and hospitals. The application requires detailed personal, educational, and professional information, along with supporting documents. It emphasizes the importance of accuracy and completeness in responses and outlines the process for submission.

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