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PHYSICIAN PARTICIPATION AGREEMENT COVER SHEET Revised 1-26-10 General Information Physician or Medical Group Name as applicable: Yavapai County Community Health Services Federal Tax ID Number: Provider
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86 6000561 form is a tax form used for reporting income and expenses.
Businesses and individuals with certain income and expense thresholds are required to file 86 6000561 form.
To fill out 86 6000561 form, you need to provide complete and accurate information about your income and expenses for the reporting period.
The purpose of 86 6000561 form is to report income and expenses to the tax authorities.
On 86 6000561 form, you must report details of your income sources, expenses, deductions, and any other required information as specified by the tax authorities.
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