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GROUSE MEDICAL PRACTICE 4500 Pewter Lane, Bldg 1 Marius, NY 1310477047PHONE: (315) 6826600 FAX: (315) 6820570 AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA Patient Name Date of

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What is crouse medical practice -77047?

Crouse Medical Practice -77047 is a specific medical practice identification number.

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Medical practices must file Crouse Medical Practice -77047.

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The purpose of Crouse Medical Practice -77047 is to uniquely identify medical practices.

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Information such as practice name, location, and contact details must be reported on Crouse Medical Practice -77047.

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