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Goldberg Podiatry Center, LLC Karyn Goldberg, PM, ACFAS Tel. 9732512906 Fax 973369703522 Old Short Hills Road Suite 214 Livingston, NJ 07039PLEASE PRINTTODAY\'S PREDIABETIC? YES___NO___REFERRAL FROM: WEBSITE/INTERNET

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Goldberg Podiatry Center 22 is a specific document or form related to podiatric practice management, typically used for administrative or regulatory purposes.

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Podiatrists and related healthcare providers associated with the Goldberg Podiatry Center may be required to file this document, as well as any entities that provide podiatric services.

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Information that must be reported on Goldberg Podiatry Center 22 typically includes provider details, patient demographics, treatment codes, and other relevant clinical information.

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