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Get In First Steps Annual Credential Form 2018-2025

At: Indiana First Steps Provider Enrollment c/o CSC P.O. Box 29160 Shawnee Mission, KS 66201-9160 Email: infsenroll dxc.com Fax: 913-888-6683 Phone: 1-866-339-9595 option 2 Annual credential checklist Annual credential form with signed attestation statement (page 3) Signed agreement with the Division of Disability and Rehabilitative Services (12 months current) Current limited criminal history from Indiana State Police (12 months current) National Provider Identifier (NPI) (required for a.

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