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Downloadable and recorded computer programs for use in medical and dental offices, and instruction manuals sold therewith for the purposes of medical practice management and patient and insurance billing; Downloadable and recorded medical and dental practice management software, Downloadable and recorded patient and insurance billing software; electronic document management system comprised of downloadable and recorded computer software for medical practice management; Downloadable and recorded computer programs for use in medical and dental offices, and instruction manuals sold therewith for the purposes of patient communications, patient engagement, and patient management; Downloadable and recorded computer programs for use in medical and dental offices, and instruction manuals sold therewith for the purpose of medical record management; Downloadable and recorded computer programs for use in medical and dental offices, and instruction manuals sold therewith for the purposes of medical practice business and patient care analytics