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ALLIANCE BEHAVIORAL HEALTH (23071)
ENROLLMENT INSTRUCTIONS
WHICH FORM(S) SHOULD I DO?
Electronic Connectivity Request (ECR)
the form can be signed by the provider (if for a solo doctor) or the president,
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Mountain States Physicians Ampamp is a reporting system for medical professionals in the mountain states region.
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The purpose of Mountain States Physicians Ampamp is to track and monitor the practice of healthcare providers in the region.
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Healthcare providers must report their contact information, medical training, licenses, and any disciplinary actions on Mountain States Physicians Ampamp.
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