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INSTRUCTIONS FOR COMPLETION OF PENNSYLVANIA Promise PROVIDER ENROLLMENT BASE APPLICATION Applications must be typed or completed in black ink, or they will not be accepted. Note: Out-of-State providers
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Requirements additional information forms are documents that gather necessary details beyond the basic requirements.
Anyone submitting an application or request for something that requires additional information to be provided.
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The purpose is to ensure that all necessary information is provided for a particular process, application, or request.
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