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PEAKS & PLAINS, INC. 6326 E. TRENT AVE STE. A SPOKANE VALLEY, WA 99212 www.peaksplains.com PHONE 5094840903 FAX 5094843242 Date: For patient: At Facility: Supplier Standards Social Security Act 1834(j);
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Peaks Plains Inc date refers to the date of incorporation of the company.
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All companies incorporated in the Peaks Plains region are required to file their Peaks Plains Inc date.
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