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11720 1 Patient Name: Date: Fungal Culture Pending Taken Date: Lab: Result: TOES White Superficial Distal Suburban Left Foot T4 T3 T2 T1 TA T4 L5 T3 L4 T2 L3 T1 L2 TA L1 Right Foot T5 T6 T7 T8 T9
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11720-1doc is a tax form used for reporting certain information to the IRS.
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The purpose of 11720-1doc is to report specific information to the IRS for tax purposes.
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