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Glob'all Primary Care Alexandria, VA Primary Care  Form

Glob'all Primary Care Alexandria, VA Primary Care Form

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Company remits the payment to you please send it to our office along with the Explanation of Benefits. We accept Cash Checks Money Orders and Credit Cards Visa MasterCard American Express and Discover. If your check is returned a processing fee of 30 will be assessed in addition to the amount of the check. You have the right to within this notice. For example we would need your written authorization to use or disclose your PHI for marketing purposes for most uses or disclosures of psychotherapy...
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