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ED Start Followup Buprenorphine Rx PATIENT DEMOGRAPHIC INFORMATIONNameHealth Care #Phone NumberAddressFamily Proliferate:Buprenorphine/naloxone 2/0.5 mg tabletsBuprenorphine/naloxone 8/2 mg tabletsTake

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Reference ID 4215181 refers to a specific form or document required for compliance with regulatory or reporting requirements, often associated with tax or financial information.

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