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AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION (PHI) JFK Medical Center Fax: 8556680697 Phone: 8886165721 Section A: This section must be completed for all Authorizations Patient Name:
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How to fill out 8556680697:

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Start by entering the area code "855" followed by the next three digits "668".
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Then, add the remaining four digits "0697" to complete the phone number.
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Double check the accuracy of each digit to ensure the number is entered correctly.

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