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BLUE ADVANTAGE PRESERVICE ORGANIZATION DETERMINATION REQUEST Post Office Box 362025, Birmingham, AL 35236 Fax 2052209560 Standard Request Expedited Request I, the requesting physician, certify that
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2052209560 is a form used for reporting certain information to the IRS.
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Form 2052209560 can be filled out electronically or by mail following the instructions provided by the IRS.
The purpose of Form 2052209560 is to report specific information to the IRS for tax purposes.
Form 2052209560 requires reporting of certain financial and tax information as specified by the IRS.
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