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U. John Berlins, M.D. r ya n W. l a p o U r, M. D. R o B e r t e. T i B o Lt, M. D. John G. Dodd, D.o. M an r c U s a . E an s t, M. D. AUTHORIZATION TO RELEASE MEDICAL INFORMATION Reason for Request
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It is a tax form used to report certain financial information.
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