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CERTIFICATION OF GRADUATE MEDICAL EDUCATION STARTUP BONUS PROGRAM AGENCY FOR HEALTH CARE ADMINISTRATION 2727 Mahan Drive Fort Knox Building 3 MS #23 Tallahassee, Florida 32308FROM: (NAME OF HOSPITAL)(MEDICAID

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City zip code is a numerical code used to identify a specific geographic area within a city for mail sorting and delivery purposes.

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Anyone residing or conducting business within the city limits may be required to provide their city zip code.

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