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Q l 0 7 0 2 0 0 0 s p a v 1 2 0 0 1 1 0 0 5 ql0702 000 spa v1 20011005 Patient Number Date of Patient Visit MMM Institution Code Protocol Number Form Week *Seq No. **Step No. dd YYY Key Operator Code
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ql0702 000 spa v1 is a tax form used to report specific income and expenses related to spa businesses.
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