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1. www.dr-brinegar.com › formsClient Portal & Notices | dr-brinegar

   www.dr-brinegar.com › forms

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   Telehealth Waiting Room. Click button or link for Virtual Waiting Room: https://doxy.me/drbrinegar. For scheduling, documents, & payment.

2. 22007apply.gov › media › DFAP_Address_Change_Request_Form_v2_MSDFAP Address Change Request Form - 22007apply.gov

   22007apply.gov › media › DFAP_Address_Change_Request_Form_v2_MS

   Change of Address Request Form. Purpose: This request form is provided for Discriminafion Financial Assistance Program (DFAP) applicants to request a change of address on their already-submifted Applicafion.

3. www.dr-brinegar.com › contactContact - dr-brinegar

   www.dr-brinegar.com › contact

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   Meredith Glick Brinegar, PhD, LLC. 7071 Corporate Way, Suite 110. Dayton, OH 45459. Phone: 937-259-8594. Fax (toll free): 844-374-9964 . Email: meredith@dr-brinegar.com

4. www.dr-brinegar.com › bioBio - dr-brinegar

   www.dr-brinegar.com › bio

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   Bio. I earned my BS in Psychology (1999) from The Ohio State University and my PhD in Clinical Psychology (2006) from Miami University in Oxford, Ohio. I am currently a licensed psychologist in the state of Ohio.

5. www.fideliscare.org › ProviderMember - Primary Care Provider (PCP) Change Request Form Update

   www.fideliscare.org › Provider

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   18 lut 2020 · The Member - Primary Care Provider (PCP) Change Request Form has been updated and is available on this site. Providers are asked to attest for a patient’s PCP change by signing, dating and faxing a completed form to fax number: 718-393-6635.

6. npiprofile.com › npi › 1942402797DR BRINEGAR AND ASSOCIATES, NPI 1942402797 - Optometrist in...

   npiprofile.com › npi › 1942402797

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   4 cze 2007 · Dr Brinegar And Associates is a provider established in Austin, Texas operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1942402797 assigned on June 2007. The practitioner's primary taxonomy code is 152W00000X with license number 6388T (TX).

7. www.consumeraffairs.com › movers › new-york-change-of-addressHow to do a New York change of address - ConsumerAffairs

   www.consumeraffairs.com › movers › new-york-change-of-address

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   10 maj 2024 · If you’re already a New York resident, you can change your address online, by calling 518-486-9786 or by mailing an address change form. Just make sure to file within 10 days of your move.