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Page 511 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Note Date: 07/24/2019 16:10 Provider: [b)(6); (b)(7)(C)] MD Facility: NYM Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: [b)(6); (b)(7)(C)] MD Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by [b)(6); (b)(7)(C)] MD on 07/24/2019 16:12 See Amendment Generated 07/24/2019 16:12 by [b)(6); (b)(7)(C)] MD Bureau of Prisons - NYM Page 1 of 1