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Family Practice Associates PC. 433 Summit Blvd Suite 201 Broomfield, CO. 20021 Phone: 3036739090 Fax: 3036739195 Authorization for Disclosure of Health Information Patient Name: ___ DOB: ___ Address:
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What is family practice associates pc?
Family Practice Associates PC is a medical practice specializing in family medicine.
Who is required to file family practice associates pc?
The owners and operators of Family Practice Associates PC are required to file.
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The form can be filled out electronically or by hand, providing all required information accurately.
What is the purpose of family practice associates pc?
The purpose of Family Practice Associates PC is to provide medical care to families and individuals.
What information must be reported on family practice associates pc?
Information such as patient demographics, medical history, treatments provided, and billing details must be reported.
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