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1.2019 Coaches Conference | Indianapolis, IN | 2.0 Zeus Name ___ NSA Member # Institution/Company___Credentials___ Address ___ Phone ___ City/State/Zip ___ Email ___ Emergency Contact Name and Phone
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The Indiana State Clinic is a medical facility in Indiana that provides healthcare services.
All healthcare providers in Indiana are required to file information with the Indiana State Clinic.
To fill out the Indiana State Clinic form, healthcare providers must provide detailed information about their practice and patients.
The purpose of the Indiana State Clinic is to collect data on healthcare services in Indiana for analysis and monitoring.
Information such as patient demographics, medical services provided, and outcome measures must be reported on the Indiana State Clinic form.
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