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CANCER SERVICES PROGRAM CLINICAL BREAST EXAM FORM Name: Date: LastFirstD. O.B.: MIMI/DD/ARM. R.# Site Code:MM/DD/Review of Patient History: Patient noticed changes in breasts since last visit? No
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The New York State Department is a government agency in the state of New York responsible for overseeing various aspects of state governance and administration.
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Individuals or businesses that meet specific criteria set by the department may be required to file with the New York State Department.
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