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Tel.: (905× 8551320 Toll Free: 18775645227 Fax: (289× 3733031 CARDIOLOGY CONSULT REFERRAL FORM MD×MBA, FR CPC Toronto PATIENT NAME: 1. Please complete form PATIENT ADDRESS: and fax to 2893733031

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What is 18775645227?

18775645227 is a form used for reporting certain financial information to the IRS.

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Form 18775645227 requires the reporting of certain financial transactions and details as specified by the IRS.

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