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Peter M. Levine, M.D., LLC 5480 Wisconsin Avenue, Suite 212 Chevy Chase, MD 20815 TEL 301/90700090 FAX 301/9070093 AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION All items on this authorization

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Peter M. Levine MD could refer to a specific medical doctor or a medical practice led by Peter M. Levine.

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