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Name: DOB: Chart: 1641 Tamiami Trail, Suite 1 (941) 6296262 (941) 6291782 Fax Advanced Orthopedic Center Financial Agreement and Lifetime Signature Authorization Welcome to Advanced Orthopedic Center,
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Name DOB chart 1641 is a form used to report information about individuals, including their name, date of birth, and other relevant details.
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