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Address: Gender: Male / female Ethnicity: NHS Number:(where available) C) Registered GP practice: GP name (optional): D) Condition / therapy area(s) of new medicine Select E) Name(s) of new medicine(s) please list 1) Asthma / COPD 2) Diabetes (Type 2) 3) Antiplatelet / Anticoagulant therapy 4) Hypertension September 2011. Produced by the Information Department. Contact the Information Department Direct dial: 01727 891 800 or 0844 7364 201 Email: information npa.co.uk Online: www..

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