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APPLICATION FOR ASSISTED LIVING FACILITY (ALF) CORE TRAINING PROVIDER REGISTRATIONINSTRUCTIONS: Please read this application carefully and fill in all the blanks. Return the completed application
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It is a form for reporting certain information to the state of Florida.
Certain healthcare providers in Florida are required to file this form.
The form can be filled out online or submitted via mail with the required information.
The purpose is to collect and track data related to healthcare services in the state of Florida.
Information such as patient demographics, services provided, and billing details must be reported.
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