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8510053084 1A/3084 CGI proof #5 (03/08/07) Discharge Medication Prescription Form Emory Crawford Long Hospital 550 Peachtree Street, NE, Atlanta, GA 30308 Page of Hospital 404-686-4411 Patient Name:
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Proof not valid is not valid for asserting legal defenses.
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The party disputing the validity of a claim must file proof not valid for.
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