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Updated Guidance Licensed Practitioner of the Healing Arts (ALPHA) Attestation Effective immediately, per the July 13, 2022, Children's Waiver Renewal Announcement, the ALPHA Attestation form (DOH

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What is changes to licensed practitioner?

Changes to licensed practitioner refer to any updates or modifications to a practitioner's licensing information.

Who is required to file changes to licensed practitioner?

Any licensed practitioner or their authorized representative is required to file changes to licensed practitioner.

How to fill out changes to licensed practitioner?

Changes to licensed practitioner can typically be filled out online through the licensing board's website or by submitting a paper form with the updated information.

What is the purpose of changes to licensed practitioner?

The purpose of changes to licensed practitioner is to ensure accurate and up-to-date information about a practitioner's licensing status.

What information must be reported on changes to licensed practitioner?

Information such as name changes, contact information updates, license expiration dates, or any disciplinary actions taken against the practitioner must be reported on changes to licensed practitioner.

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