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E My Second Home Pediatrics, LLC Account # Date / / Patient Registration 31000 Telegraph Road, Ste #100 Bingham Farms, MI 48025 2488650030 Mother/Father/Guardian DOB / / SS # Address Occupation City/State/Zip
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Who needs my second home pediatrics?
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Parents or guardians who have a second home and require pediatrics services for their children at that location.
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Individuals who provide temporary childcare services at second homes and need to have access to pediatric resources and guidance.
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What is my second home pediatrics?
My second home pediatrics is a medical facility specializing in pediatric care.
Who is required to file my second home pediatrics?
The healthcare provider or medical practice that operates my second home pediatrics is required to file.
How to fill out my second home pediatrics?
You can fill out the necessary forms for my second home pediatrics either electronically or manually, providing all required information.
What is the purpose of my second home pediatrics?
The purpose of my second home pediatrics is to track and report medical care provided to pediatric patients.
What information must be reported on my second home pediatrics?
Information such as patient demographics, medical services provided, and billing information must be reported on my second home pediatrics.
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