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Welcome to Interstate Chiropractic PATIENT INFORMATION Name:Male Date of Birth:Address:City:Day Phone:State:Evening Phone:email:Female Zip:Cell Phone: Soc Sec (if using insurance)Occupation:Employer:Emergency
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Shahin A Sadik MD is a medical doctor specializing in internal medicine.
Shahin A Sadik MD or any medical institution where Dr. Sadik practices may be required to file his information.
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The purpose of Shahin A Sadik MD form is to gather and report information related to Dr. Sadik's medical practice.
Information such as Dr. Sadik's medical license number, contact information, specialty, and any disciplinary actions must be reported on Shahin A Sadik MD form.
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