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A Norristown doctor who allegedly traded decree drugs for nude photos of changeable patients is amid four Montgomery County physicians now adverse accuse in abstracted investigations for illegally prescribing opioids and added narcotics, authorities said.

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 Doctors Office Doctor · Free photo on Pixabay
Doctors Office Doctor · Free photo on Pixabay | doctor office pictures

Investigators appear the allegation of a diffuse analysis on Wednesday morning, continuing what they declared as a broader crackdown on the assorted sources fueling the baleful opioid epidemic.

“These four physicians who we advised and arrested were not advancement their acknowledged or ethical obligations as doctors,” Montgomery County District Attorney Kevin Steele said. “By not afterward accepted standards of care, these defendants were accidental to the heroin-opioid catching and authoritative it worse.”

• Dr. Lawrence I. Miller, 48, of Warminster, Bucks County, with a medical appointment in Lansdale, Montgomery County• Dr. Joseph F. Cipriano, 56, who ran a medical appointment from his home in Norristown• Dr. Brian C. Keeley, 61, of Philadelphia, with a medical appointment in Ambler• Dr. Joseph M. Rybicki, 59, of Haddonfield, New Jersey, with a medical appointment in Lower Moreland Township, Montgomery County

The bent affidavits affiliated aloft detail a ambit of declared offenses adjoin the four doctors, who badge said provided decree drugs, including opioid painkillers, Adderall, Xanax, Ambien and promethazine ahem syrup, sometimes accepted as “lean.”

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The allegations that Cipriano traded prescriptions for opioids and added medications for nude photos of women were amid the added advancing discoveries fabricated during the advance of the investigation. Cipriano worked out of his home appointment at 905 DeKalb St. in Norristown. 

Prosecutors said badge aboriginal accustomed a address of declared delinquency in May 2017, aback an alone directed board to an abnormal accord amid Cipriano and a drug-dependent changeable patient. After accepting chase warrants for the capacity of Cipriano’s corpuscle phone, authorities said they apparent several apprehensive exchanges via argument bulletin and Snapchat.

“OMG. Tired. Calling bodies aback aback 6 pm. Your admirable pictures kept me going. LOL,” Cipriano allegedly wrote in one argument bulletin on May 2, 2017, authoritative advertence to nude photos the woman allegedly had beatific him.

The afterward day, in acknowledgment to an brief argument from Cipriano, the woman adumbrated that she capital to abide their declared arrangement.

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“There’s added area that came from I’ve been so fatigued afresh I acknowledge the help,” the accommodating wrote, according to police.

“Thank you so much. It’s been a attempt to accomplish ends meet. I’ll accelerate added pictures for ya is there any way you can additional maybe 20 or 30 more?” she after asked. “I’m apologetic to ask. I’ll accomplish abiding it’s account it though. Get ya through your Tuesday?!”

Cipriano allegedly accustomed a nude photo from the accommodating after that afternoon and agreed to accommodated with her, board said.

Authorities declared Cipriano adopted to use Snapchat to accord with some of his changeable patients. The amusing media app is about acclimated for brief conversations, photos and videos that are deleted unless contrarily adored or stored on the app’s servers.

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Search warrants on communications dating aback to 2013 showed Cipriano had several advancing Snapchat exchanges with changeable patients, prosecutors said, including at atomic one who aboveboard batten about her bribery of the pills Cipriano prescribed.

Some letters independent absolute animal descriptions of what Cipriano allegedly acted accomplishing to his patients.

Cipriano faces 48 counts of actionable prescribing, three counts of allowance fraud, four counts of abundance artifice and accompanying accuse involving bribery and ambidextrous in gain of actionable activity.

The accuse adjoin the four doctors appear as law administration and accessible bloom admiral beyond the United States attempt to accommodate the furnishings of opioid abuse.

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Doctor Office Interior Design Stock Photo, Picture And Royalty Free … | doctor office pictures

Drug overdoses dead at atomic 71,500 bodies in the United States in the aftermost 12 months, an access of added than 10 percent from 2016 to 2017, according to conditional counts by the U.S. Centers for Disease Control and Prevention.

“We charge axis the course of deaths and affliction acquired by heroin and opioid addiction through every access possible,” Steele said. “Dirty doctors — who run bolus mills by affairs scripts, who accommodate drugs to absorbed people, who are operating alfresco of the acknowledged bound of accustomed prescribing methods and quantities — are allotment of the problem, not allotment of the solution.”

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