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EYE PHYSICIANS OF WASHINGTON Maxwell Elliott, M.D. Newell Largest, M.D. Daniel Plunk, M.D. Amy Greenrooms, M.D.REGISTRATION FORM (please print legibly) Last Name: First Name: Middle Unit: Address:
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Eye Physicians of Washington is a group of eye doctors providing comprehensive eye care services in the Washington area.
Only eye physicians who are part of the Eye Physicians of Washington group are required to file.
Eye physicians can fill out the required information on the provided form and submit it according to the instructions.
The purpose of Eye Physicians of Washington is to provide quality eye care services to patients in the area.
Eye physicians need to report their contact information, services provided, and any other relevant details on the form.
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