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ARIZONA STATE BOARD OF NURSING CANDY PROGRAM 4747 North 7th Street, Suite 200 Phoenix, Arizona 85014-3655 (602) 771-7865 FAX (602) 771-7882 MEDICAL PROVIDER REPORT The nurse who is submitting this

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What is cando-form-medprv - arizona state?

Cando-form-medprv - arizona state is a form used in Arizona to report medical provider information.

Who is required to file cando-form-medprv - arizona state?

All medical providers operating in Arizona are required to file cando-form-medprv - arizona state.

How to fill out cando-form-medprv - arizona state?

To fill out cando-form-medprv - arizona state, you need to provide the required information about your medical practice or facility as indicated on the form.

What is the purpose of cando-form-medprv - arizona state?

The purpose of cando-form-medprv - arizona state is to gather information about medical providers operating in Arizona for regulatory and compliance purposes.

What information must be reported on cando-form-medprv - arizona state?

Cando-form-medprv - arizona state requires reporting of various details including the name and contact information of the medical provider, practice or facility information, license numbers, and other relevant information.

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