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1. Fill out your 2000 with a selection of essential blanks. Consider all of the necessary information and make certain there is nothing forgotten!
2. The next part would be to submit these blanks: b Armed Forces Health Pro, c Uniformed Services Univer sity, j LICENSING INFORMATION, e Reserve f Other Specify, c Consultant d Foreign National, State of License, License Number, State of License, License Number, TYPE OF PRACTITIONER AND, Highest Level of Specialization, a Board Certified, b Residency Completed, c In Residency, and d No Residency.
3. Completing Highest Level of Specialization, Primary Specialty, a Board Certified, c In Residency, a General Dental Officer, c Other Specify, b Residency Completed, d No Residency, b Oral Surgeon, Board Certifications, c OTHER PRACTITIONERS, OTHER PRACTITIONERS, Audiologist, Nurse Anesthetist, and Optometrist is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!
4. You're ready to start working on this next part! Here you have all of these a PRIVILEGING ACTIONS TAKENREASON, b ACTIONS OTHER THAN PRIVILEGING, c LENGTH OF ACTION In months, NONE, NONE, d LIST HOW AND WHY WHAT PRIVILEGES, e OTHER ACTIONS TAKEN X all that, Review, Separated for Cause, Separated, Rehabilitation, OntheJob Training, FiredTerminated, Resigned, and CIVILIAN CONTRACTOR NAME blank fields to complete.
People frequently make mistakes when completing c LENGTH OF ACTION In months in this part. Ensure you double-check whatever you type in right here.
5. This last notch to finalize this PDF form is critical. Make certain you fill in the necessary form fields, like REMARKS, OFFICE OF THE SURGEON GENERAL, b TITLE, d ADDRESS Office of the, Surgeon General, e SIGNATURE, c TELEPHONE NUMBER, f DATE SIGNED YYYYMMDD, INSTRUCTIONS, All other items are selfexplanatory, and b Correction or Addition An, before submitting. Failing to do this can result in an unfinished and possibly nonvalid form!
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