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C. Physical Data:
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A. Master Personal Detailed Record:
C. Physical Data:
D. Board Certifications:
F. Medical License/Registrations
G. Hospital Affiliations:
H. Hospital Privileges:
I. Office Addresses:
J. Group Practice & Employment:
K. Medical School:
L. Medical Training:
M. Military Medical Training:
N. Professional Medical References:
O. Professional Associations:
P. Professional Liability Carrier:
Q. Disclosure questions:
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Physical_id
Master_id
Eye Color:
Gender:
Hair Color:
Height:
Weight:
Race:
Unique Physical Marks:
Distinctive Physical Marks:
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Physical_id
Master_id
Eye Color:
Gender:
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Femail
Hair Color:
Height:
Weight:
Race:
Unique Physical Marks:
Distinctive Physical Marks: