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Also anyone with known environmental exposures, a history of amalgam fillings, high fish consumption, or occupational heavy metal contact

Any clinical research initiatives must be conducted under the guidance of the relevant Institutional Review Board (IRB)

Comment: A commenter believed that required reporting for each of a clinician's TIN/NPI combinations would create redundant work and documentation, confusion, unneeded complexity, and increased costs

and consideration of the MIPS quality measure in developing MVPs) prior to determining whether to remove the MIPS quality measure

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