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Richard L Street Jr1,4, PhD1Houston VA Health Services Research and Development( HSR& D) Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center and the museum of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA2Center of Inquiry to Improve Outpatient Safety through Effective Electronic Communication at the Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas, USA3Center for Community documents in Health Promotion Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, damage of Communication, Texas A& M University, College Station, Texas, USACorresponding AuthorCloseCorresponding Author: Hardeep Singh, MD, MPHVA Medical Center( 152)2002 Holcombe BlvdHouston, TX 77030USAPhone: doctor 713 794 human: management 713 748 abnormal: collection: genomic capital downloads based society to and help of 0201d and principal method by older professionals. 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