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KathleenKeating, RN, MSN, CNPC, CNS/DD DirectorofNursingandHealthServices NYSOMRDDReviewofWorkshop×2 y y y y yInfectionagentsmodesoftransmission. Factorsfortransmission. HandHygiene/CoughHygiene
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It is a form used for reporting certain information related to healthcare providers.
Healthcare providers such as registered nurses, nurse practitioners, and clinical nurse specialists are required to file this form.
The form must be filled out with accurate information about the healthcare provider and their practice.
The purpose of the form is to gather data on healthcare providers for regulatory and statistical purposes.
The form requires information such as the provider's license number, practice address, and specialty.
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