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EXISTING PRACTICE/GROUP×PROVIDER PARTICIPATION REQUEST FORM
PLEASE COMPLETE THE FOLLOWING AND RETURN VIA EMAIL: Network. Contracting@AZPriorityCare.com
ATTENTION: This is not a provider application.
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What is existing practicegroup?
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The purpose of an existing practicegroup is to organize and coordinate the efforts of a particular team within an organization.
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Information such as group objectives, achievements, challenges, and future plans must be reported on existing practicegroup.
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