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DWC Form-067, Designated Doctor Certification Application
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Document Date: 2014-09-25 08:59:16

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File Size: 222,26 KB

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City

Austin / /

Company

Protection Data Bank / TDI / Health Care Integrity / ADMINISTRATIVE SERVICES COMPANY / National Practitioner Data Bank / /

Facility

Hospital Privileges / /

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IndustryTerm

compensation health care network / chemical dependency diagnosis / certification applications / chemical substances / medical groups / law enforcement / insurance / /

Organization

Department of Public Safety / Texas Department of Insurance Division of Workers / Federation of State Medical Boards / Division of Workers / Texas Department of Insurance / Occupational Safety and Health Administration / Drug Enforcement Administration / DWC067 Texas Department of Insurance Division of Workers / Medicare / /

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Position

Program Director / Current Program Director / /

ProvinceOrState

Texas / /

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