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Tuckahoe Orthopedic Associates, Ltd. Spine Patient Intake Form for Dr. Simpson Johnathon Chi sum, PAC & Sean Little, PAC Patient History FormNameDateLast NameFirst NameMiddle Initialize: ___ Occupation:
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Tuckahoe Orthopaedics/Orthopedic Group is a medical practice specializing in orthopedic care.
The individuals or entities associated with Tuckahoe Orthopaedics/Orthopedic Group are required to file.
To fill out Tuckahoe Orthopaedics/Orthopedic Group form, you need to provide accurate and relevant information about the orthopedic practice.
The purpose of Tuckahoe Orthopaedics/Orthopedic Group form is to report information related to the orthopedic practice for regulatory and compliance purposes.
Information such as revenue, expenses, patient volume, services provided, and any other relevant data related to the orthopedic practice must be reported.
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