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SOUTHEASTERN NEW HAMPSHIRE SERVICES IMPAIRED DRIVER CARE MANAGEMENT PROGRAM 272 COUNTY FARM ROAD DOVER, NEW HAMPSHIRE 03820 ×603× 5168160 * FAX (603× 7493983 CONSENT FOR THE RELEASE OF TREATMENT×CONFIDENTIAL
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Service providers operating in southeastern New Hampshire are required to file souformastern New Hampshire Services.
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1996 New_Hampshire CFR IDCMP recidivate LADC HIPPA IDCMP-020 Pts NH Portability RSA IDCMP-022 disclosures facilitation SOUTHEASTERN reliance implemented rationale herein pertains pursuant prohibit Accountability governing revoke outlined disclosed pertain

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