HIPAA Privacy Authorization Form
**Authorization for Use or Disclosure of Protected Health Information (Required by the Health Insurance Portability and Accountability Act, 45 C.F.R. Parts 160 and 164)**
4200-B Technology Ct
Chantilly, VA 20151, United States
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9:00 am - 5:00 pm
9:00 am - 5:00 pm
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9:00 am - 12:00 pm
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