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Name: DOB: Diabetes Education MR #: Phone #: CLIENT DATA BASE Physician(s): PATIENT INFORMATION Date: Physician/NP: Diagnosed: Specialist: HISTORY Type of diabetes: Type 1 Type 2 IT IF Gestational
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Revised data basedoc is a document that contains updated or corrected information related to a specific dataset or document.
The individual or entity responsible for the original data submission is required to file revised data basedoc.
Revised data basedoc can be filled out by accessing the original data submission and making necessary updates or corrections.
The purpose of revised data basedoc is to ensure that accurate and up-to-date information is available for the dataset or document in question.
Revised data basedoc must report the specific changes or updates made to the original data submission.
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