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North Shore Gastroenterology Associates, P.C. ACKNOWLEDGMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES Notice to Patient: We are required to provide you with a copy of our Notice of Privacy Practices,

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North Shore Gastroenterology Associates is a medical practice specializing in gastroenterology located on the North Shore.

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Medical professionals or entities associated with North Shore Gastroenterology Associates may be required to file certain documents related to their practice.

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The purpose of North Shore Gastroenterology Associates is to provide specialized medical care and treatment for gastrointestinal conditions.

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