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Practice Code Only
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If you selected a Partnership option that includes a Practice Code, please let us know what code you'd prefer to share with your patients. We recommend something that would be easy for your patients to remember (usually a mix of your office name, location, and/or a number).
I attest that I/we are a certified/licensed healthcare professional/facility. If I am misrepresenting my professional credentials, I understand that Corganics® has the right terminate my account access and any unfulfilled orders without prior notice.
Professional Consulting & Marketing Services Agreement." > I agree to the terms and conditions set forth in the
Professional Consulting & Marketing Services Agreement.
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