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11 west forty-second street New York, NY 10036 www.empireblue.com Dear Physician: I'm pleased to introduce you to the new Empire Physician Sourcebook, a reference manual for you and your staff. This
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How to fill out 1397 physician sourcebook:

01
Begin by gathering all the necessary information. This may include personal details of the physician such as name, contact information, and medical license number.
02
Carefully review the guidelines and instructions provided with the sourcebook. Make sure you understand the purpose and requirements for filling it out.
03
Start filling out the sourcebook by entering the physician's basic information in the designated sections. This typically includes their full name, date of birth, and any relevant identification numbers.
04
Proceed to the section that requires you to provide details about the physician's education and training. Include their degrees, medical school attended, and any specialty certifications.
05
Complete the section related to the physician's professional experience. This may involve listing previous positions held, current employment, and any additional relevant information.
06
If applicable, include any publications, research, or academic achievements in the appropriate section.
07
Double-check all the information entered to ensure accuracy before moving on to the next section.
08
Complete any additional sections that are specific to the 1397 physician sourcebook. This could involve providing details about medical affiliations, professional memberships, or other relevant information.
09
Finally, review the entire sourcebook once again to ensure all sections have been filled out accurately and completely.
10
Submit the filled-out physician sourcebook according to the designated instructions provided.

Who needs 1397 physician sourcebook?

01
Physicians who are applying for medical staff privileges at a hospital or healthcare facility often need to complete the 1397 physician sourcebook.
02
Medical licensing boards or regulatory bodies may require physicians to fill out the 1397 physician sourcebook as part of their application or renewal process.
03
Researchers or academic institutions requesting information about an individual physician's qualifications and experience may also use the 1397 physician sourcebook to gather relevant information.
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1397 physician sourcebook is a document that contains information about physicians and their practices.
Physicians and healthcare facilities are required to file 1397 physician sourcebook.
You can fill out 1397 physician sourcebook by providing accurate information about the physicians and their practices in the designated sections.
The purpose of 1397 physician sourcebook is to gather information about physicians and their practices for record-keeping and regulatory purposes.
Information such as physician's name, contact information, specialty, medical license number, and practice location must be reported on 1397 physician sourcebook.
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