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The call center company later changed its name to e – Telecare Global Soltions in 2004. Before taking any exams necessary for their state, they must pass the Foreign Pharmacy Graduate Equivalency examination (FPGEE), Test of English like a Foreign Language (TOEFL) and Test of Spoken English (TSE) exams. An individual that finds work in this profession can be a radiology technician if his competency qualifies him to execute work using x-ray, ultra-sound, CAT or ECG equipment that provides the doctors with scanned images that the latter use as bases because of their diagnoses.