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["附件2"]
["湖北省医学会医学鉴定专家库成员推荐表"]
["姓名",null,"性别",null,"出生年月"]
["技术职称",{"$nulls":3},"取得时间"]
["工作单位及科室"]
["职务",{"$nulls":3},"电子邮箱"]
["办公电话",{"$nulls":3},"手机号码"]
["门诊及手术时间"]
["填报专业（按附件1专业设置填报，必要时注明专业研究方向）","例1：1-7-1功能神经内科+1-7-2介入神经内科"]
[null,"例2：5眼科学（青光眼+白内障）"]
[]
[null,"备注：外科、妇科擅长腔镜，眼科专业方向、康复医学擅长针灸推拿等情况请带括号注明"]
["本人意见","       同意申报 "]
[null,"                   签名：    "]
[null,"                                年   月   日"]
["所在单位意见","   "]
[null,"                盖章    "]
[null,"                                年   月   日"]
["省医评办意见","   "]
[null,"                盖章    "]
[null,"                                年   月   日"]

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