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EAST SIDE MEDICAL PRACTICE, P.C. 20 East 46th Street New York, NY 10017 (212) 4813600 fax (212) 4813336 THIS NOTICE MUST BE PROVIDED TO YOU AS MANDATED BY FEDERAL LAW. IT DESCRIBES HOW MEDICAL INFORMATION
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This notice describes the requirements and procedures for filing, as well as the necessary information to be reported.
Individuals or entities that meet certain regulatory requirements are required to file this notice.
To fill out this notice, follow the provided guidelines, ensure all required fields are completed accurately, and double-check for any necessary supporting documentation.
The purpose of this notice is to ensure compliance with applicable regulations and to inform relevant authorities of specific activities or statuses.
Required information generally includes personal or business identification, relevant dates, and specific details pertaining to the regulatory requirements.
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