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PATIENT INFORMATION:HOW DID YOU HEAR ABOUT US? Last Name First Middle I. Date of Birth: MFS. S. # DX: Address City State Zip Telephone: MD: Wk: PCP: Cell: EMERGENCY #: EMAIL ADDRESS: INSURANCE INFORMATION:PI/
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Zielinski PT & Associates is a consulting firm specializing in project management and business development.
Businesses or individuals who have hired Zielinski PT & Associates for their services may be required to file the necessary documentation.
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The purpose of Zielinski PT & Associates is to help businesses and individuals in project management and business development to achieve their goals.
Information such as the name of the client, the services provided, the fees charged, and any other relevant details must be reported on Zielinski PT & Associates.
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