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669-321. Registered Nurse License Application.. 4 pages 6. RCW/WAC and Online Web Site Links. 1 page Important Social Security Number Information You are required by state and federal law to provide a social security number with your application. If you do not have a social security number please read complete and return this form with your application. A U.S. Individual Taxpayer Identification Number ITIN or a Canadian Social Insurance Number SI...

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What is doh 669 321 form?

The DOH 669 321 form is a document used by the Department of Health (DOH) to collect specific information related to healthcare facilities.

Who is required to file doh 669 321 form?

Healthcare facilities are required to file the DOH 669 321 form.

How to fill out doh 669 321 form?

To fill out the DOH 669 321 form, healthcare facilities need to provide the requested information accurately and completely.

What is the purpose of doh 669 321 form?

The purpose of the DOH 669 321 form is to gather data and statistics about healthcare facilities for regulatory and planning purposes.

What information must be reported on doh 669 321 form?

The DOH 669 321 form requires healthcare facilities to report various information such as facility details, patient data, staffing information, and more.

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