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Charles Lilly, MD, PC, Michael Mutation, DO, LLC Carrie White, PAC Today's Date: / / Orthopedic HEALTH HISTORY QUESTIONNAIRE Patient Name: DOB MALE: FEMALE: HEIGHT: WEIGHT: # OF Children: Email Address:
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What is charles lilly md pc?
charles lilly md pc is a medical practice owned by Dr. Charles Lilly.
Who is required to file charles lilly md pc?
Dr. Charles Lilly or any authorized representative of the medical practice.
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charles lilly md pc must be filled out accurately and completely, including all relevant financial and operational information.
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The purpose of charles lilly md pc is to document the financial and operational performance of the medical practice.
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Information such as revenue, expenses, patient volume, staff salaries, and any other relevant financial and operational data.
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