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Bethesda, MD NIH Publication No 14-7983

This tamper is made of olive wood, and as with all G-Tampers is designed specifically to pack the pipe so that the un-burnt tobaccos that may be hanging on to the edges of your bowl will be redirected into the center for a more even and complete burn

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* * * * * (3) * * * (ii) If the plan of treatment is established by a physical therapist, occupational therapist, or speech-language pathologist, the certification must be signed by a physician or by a nurse practitioner, clinical nurse specialist, or physician assistant who has knowledge of the case, except as specified in paragraph (c)(5) of this section

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