We sent out a mass mailing to patients of a provider who is leaving. In the process of creating the labels the addresses shifted down 1 person. So Mrs. A Jones envelope had the address of Mrs. B Jones who had the address of Mrs. C Jones and so on down the list. The letter was exactly the same letter without any patient information. Is the fact that all the Jones know they each have seen this doctor a breach? Of note this is NOT mental health.