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MEDICARE NUMBER8366 2000Sonic Healthcare Limited A.P.A. ABN 24 004 196 909 Level 22, Grosvenor Place, 225 George Street Sydney NSW 2000SURNAMEMR, MRS, MISS, MS, DR. A/433721 James Cong don Drive Mile
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This document is a specific form related to clinical pathology services.
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The form should be completed with accurate information regarding the clinical pathology services provided.
The purpose of this form is to report clinical pathology services for regulatory compliance and record-keeping.
Information such as patient details, types of tests conducted, results, and billing information must be reported on this form.
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