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| Date of Activity |
Program ID# |
Provider Organization Name |
Code |
Description |
Delivery Mode |
Verify Code |
Approved Hours |
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Maint Hrs. |
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*Note about verification codes: "VOF" in the verification code field indicates that the provider did not assign a course verification code but the AGD has a copy of the CE certificate on file. For self-study courses and exams, if the score is provided, it is reported as the verification code.
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