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Nasal snuff comes in several consistencies, or "grinds", depending on how finely pulverized the tobacco leaves used to produce snuff are rendered: fine ( fin ), medium-fine to medium ( demi-gros ), and coarse ( gros )

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(a) Request for Information for Teaching Physician Services Furnished Under the Primary Care Exception The so-called primary care exception set forth at 415.174 permits the teaching physician to bill for certain lower and mid-level complexity physicians' services furnished by residents in certain types of residency training settings even when the teaching physician is not present with the resident during the services as long as certain conditions are met, including that the services are furnished by residents with more than 6 months of training in the approved residency program