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ROBERT L. BARD, M.D., P.C. 121 EAST 60TH STREET STE 6A NEW YORK, NY 10022 TEL (212× 3557017 WWW.CANCERSCAN.COM BARD CANCERSCAN.COM FAX (212× 7526192 MEDICARE BENEFICIARY NOTICE Patients Name: Medicare#(ICN):
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