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A.1.4 (b)REQUEST FOR INVESTIGATION VERIFICATION FROM INVESTIGATIVE SERVICES SECTION I TO BE COMPLETED BY APPLICANT NAME: ___ FIRST MIDDLE LAST SSN:___DATE OF BIRTH: ___Have you ever been employed
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Iowa Statewide Universal Practitioner is a form used for reporting practitioner information in the state of Iowa.
All healthcare practitioners practicing in Iowa are required to file Iowa Statewide Universal Practitioner.
The Iowa Statewide Universal Practitioner form can be filled out online or submitted through mail with the required information about the practitioner.
The purpose of Iowa Statewide Universal Practitioner is to maintain an updated database of healthcare practitioners in Iowa for regulatory and licensing purposes.
The Iowa Statewide Universal Practitioner form typically requires information such as name, contact information, licensing details, and practice location of the practitioner.
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