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Nielsen Chiropractic Health Center Dusty Nielsen, D.C. NPI: 1184801623 1502 Oklahoma Avenue Woodward, OK 73801 (580) 2563122Good Faith Estimate & Disclosure FormPatient Name(Print): ___ Date of Birth:
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Dr. Dusty Nielsen DC could refer to a chiropractor named Dr. Dusty Nielsen who holds a Doctor of Chiropractic (DC) degree.
Patients who have received chiropractic services from Dr. Dusty Nielsen DC may be required to file documentation for insurance or personal records purposes.
To fill out Dr. Dusty Nielsen DC documentation, patients may need to include personal information, the date of visit, services received, and any insurance information.
The purpose of Dr. Dusty Nielsen DC documentation is to keep a record of chiropractic services provided to patients.
Information such as patient name, date of visit, services received, and any insurance details may need to be reported on Dr. Dusty Nielsen DC documentation.
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