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5400 West Plano Parkway Suite 230, Plano, TX 75093 Tel: 972.818.8800 Fax: 972.818.8803 WorthyWeightLoss.comPF5000REQUEST TO INSPECT OR COPY PROTECTED HEALTH INFORMATION I hereby authorize you to use
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5400 West Plano Parkway is an address located in Plano, Texas.
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