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York Surgical Associates, P.C. 2114 N. Lincoln Ave., Suite B York, NE 68467 Phone:4023624339 Fax:4023627743 PATIENT Informational of Visit:Patient Name (Last, First):Birthdate:/Race (circle one): Race: Caucasian Asians:/Gender:
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PDF York Surgical Associates is likely a reference to a document or form related to surgical services or practices associated with York Surgical Associates, a medical group or practice.
Typically, the individuals or entities providing or billing for surgical services associated with York Surgical Associates would be required to file this document.
To fill out the PDF for York Surgical Associates, you would generally start by downloading the form, then enter the required information in the designated fields, and finally save and submit as per the instructions provided.
The purpose of the PDF York Surgical Associates is to report surgical services provided, ensure compliance with regulatory requirements, and facilitate billing and insurance claims.
The information typically required includes patient details, services rendered, dates of service, billing codes, and provider information.
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