What is your name?

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* 1. What is your name?

What is your email address?

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* 2. What is your email address?

Type of Healthcare provider

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* 3. Type of Healthcare provider

Years of practice

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* 4. Years of practice

Primary work environment

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* 5. Primary work environment

Would you like to join the Excellence in Pediatrics Community? Improvement in pediatrics always comes through collaboration and exchange. Become member of the Excellence in Pediatrics Community, connect with your colleagues, share knowledge, ideas and practices that help improve children's health globally. It is free

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* 6. Would you like to join the Excellence in Pediatrics Community? Improvement in pediatrics always comes through collaboration and exchange. Become member of the Excellence in Pediatrics Community, connect with your colleagues, share knowledge, ideas and practices that help improve children's health globally. It is free

Tell us how you could contribute to our mission:

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* 7. Tell us how you could contribute to our mission:

Would you like to join one or more of the Special Interest Groups of the community?

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* 8. Would you like to join one or more of the Special Interest Groups of the community?

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