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Iowa statewide Universal Practitioner CREDENTIALING ApplicationNAME: Last NameFirst NameMiddle Nettle Type or print responses in ink. Complete this form in its entirety and attach all requested documentation
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The University of Iowa Clinical is a program that provides clinical services to patients.
Healthcare providers and institutions involved in clinical services at the University of Iowa are required to file.
To fill out the University of Iowa Clinical, healthcare providers and institutions must submit the required information online or through a designated portal.
The purpose of University of Iowa Clinical is to ensure accurate reporting of clinical services provided by healthcare providers and institutions at the University of Iowa.
Information such as patient demographics, services provided, dates of service, and billing information must be reported on University of Iowa Clinical.
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