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Date of Application:Name:Last×First×Middle×Maiden or Other Names Encircle all that apply and for which you are currently licensed: MD DO DDS DC DP MOD PA CNM CNP CRNA RN PT OT ST Oriented Cup Clan
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Circle all that apply is a task where you select all relevant options or choices from a list.
Anyone who has to indicate multiple options or choices from a list is required to fill out circle all that apply.
To fill out circle all that apply, simply mark the relevant options or choices from the list by circling them.
The purpose of circle all that apply is to accurately gather information by allowing individuals to select all relevant options or choices.
On circle all that apply, individuals must report all options or choices that are applicable to their situation.
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