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Attached NDOI-901-R reappointment application. In addition. ... W-9 FORM. COPY OF ALL CURRENT STATE REGISTRATIONS. COPY OF DEA CERTIFICATE, IF APPLICABLE.
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Read through the recredentialing document requirements provided by your state.
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Obtain all necessary documents and forms needed for recredentialing.
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Review and submit the completed recredentialing document requirements form to the appropriate state authority.

Who needs recredentialing document requirements state?

01
Healthcare professionals who are already credentialed and licensed in a specific state.
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Healthcare organizations and facilities that employ or contract with healthcare professionals.
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Insurance companies or payers that require recredentialing of healthcare providers.
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Government regulatory bodies that oversee the healthcare industry.
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