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3600 Houma Blvd. Metairie, LA 70006 Phone: 504.309.6500 Fax: 504.309.6585 ACKNOWLEDGEMENT OF RECEIPT OF NARCOTIC POLICY AND PHYSICIAN OWNERSHIP STATEMENT Notice to Patient: We are required to provide
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Fill in your personal information accurately, including your full name, address, contact details, and any other required details.
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If applicable, provide information about the narcotic substances you own, such as their names, quantities, and any relevant identification numbers.
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acknowledgement narcoticownershipdocx is a form used to acknowledge ownership of narcotics.
All individuals or entities that own narcotics are required to file acknowledgement narcoticownershipdocx.
To fill out acknowledgement narcoticownershipdocx, one must provide their personal or business information, details of the narcotics owned, and sign the form.
The purpose of acknowledgement narcoticownershipdocx is to declare ownership of narcotics and comply with regulations.
The information reported on acknowledgement narcoticownershipdocx includes details of the narcotics owned, the quantity, and the owner's personal or business information.
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Houma Metairie Orthopedics conservator ACKNOWLEDGEMENT Blvd NARCOTIC Beneficiary Crescent

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