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21740 S. Tamiami Trail #103, Ester FL, 33928 Esterofamilychiropractic.com pH: 2396769116 Fax: 2392213959HIPAA Consent for Purpose of Treatment, Payment and Healthcare Operations I acknowledge that
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Avis Car Rental is a car rental company.
Anyone who wishes to rent a car from Avis.
You can fill out Avis car rental forms online or at a rental location.
The purpose is to provide information about the rental agreement.
Information such as personal details, rental period, type of car rented, and payment details.
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