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Get and Sign Oh Paf 0355 Form

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Hours to avoid complications and unnecessary suffering or severe pain. URGENT REQUESTS MUST BE SIGNED BY THE X REQUESTING PHYSICIAN TO RECEIVE PRIORITY. INDICATES REQUIRED FIELD Date of Birth * (MMDDYYYY) Last Name, First REQUESTING PROVIDER INFORMATION Requesting NPI * Requesting TIN * Requesting Provider Contact Name Requesting Provider Name Phone Fax SERVICING PROVIDER / FACILITY INFORMATION Same as Requesting Provider Servicing NPI * Servicing TIN Servicing Provider/Facility...
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Hello my name is Travis Manson and I live and fish in the same part of the country that you do the Northeast wow what a great diverse fishery that we do have plenty of opportunities huge large mouth bass trophy small mouth bass I don't think it can get any better than the Northeast region and one of my jobs at monster bass is to actually help recommend the different baits that we send to you every month my team and I take in consideration the region that you fish as well as the time of year, and then we recommend the different shapes at different colors and different styles of baits to help you catch more fish for that particular region during that month all we do is bass fishing and I believe we do it better than anybody else our competitors are going to send you a box of baits, but it's going to be very random, and it may not work for the body of waters that you fish at monster bass we break the country into regions and then provide you baits that are going to help you catch more fis

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