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OCR: John D. Jones MD Anytown, U.S.A. DEA# 123456789 PHONE# 123-4567 25 NAME Your Name. AGE ADDRESS Anyu USA. DATE 4/1/7/90 Darvon cpd-65 Sig: capt of 4h prn pain. DISPENSE AS WRITTEN REFILLS LABEL 5x year John D. SUBSTITUTION