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Registration Type
*
LBP New User
IA New User
EW New User
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First Name
*
(as it currently appears in the register)
Last Name
*
(as it currently appears in the register)
Practitioner ID
*
*
Primary Email Address
*
*
*
(as currently listed in the register)
"eg. BP123456. If you’re unsure of your ID, search the public register
here
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