The document should also show the state, zip code, city and other address information.
The nurse checked with Palms West, who had no record for the name Stephenson initially gave the nurse.
Stephenson is charged with withholding information from a practitioner and unlawful possession of prescription drugs.
Undeterred, he forged a host of documents including a medical degree and energy bills, stealing the identity of a genuine doctor.
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Every clinic or hospital has their own unique document.