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Medical freezes will not be backdated. The minimum amount of freeze will be one month but not greater than 12 months. Customer Service Department 3157 Eggert Road Tonawanda NY 14150 Ph 716-370-0677 Toll Free 844-808-8790 Fax 716-370-0676 REQUEST FOR A TEMPORARY MEDICAL MEMBERSHIP FREEZE Date Patient s/Member s Name Barcode ID Diagnosis of injury/illness Recommended Treatment Date of Surgery if applicable Please indicate with a check mark the activities the patient is able to participate in...
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3157 Eggert Road is a specific address located in the city of Buffalo, NY.
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The purpose of 3157 Eggert Road is to maintain accurate records of the property's ownership and rental history for legal and taxation purposes.
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