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The Overton Hotel & Conference Center March 1 & 2, 2016 2322 Mac Davis Lane Lubbock, TX 79401 8887767001 http://www.overtonhotel.com/ Registration Form Please PRINT CLEARLY or TYPE (complete 1 form
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HPDC registration only is a simplified registration process for certain healthcare providers.
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Healthcare providers who meet certain criteria set by the regulatory body.
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Providers can fill out the hpdc registration form online or submit a paper application.
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The purpose of hpdc registration only is to streamline the registration process for healthcare providers.
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Providers must report basic personal information, practice details, and compliance information.
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