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AUTHORIZATION FOR RELEASE OF INFORMATION Patient Name: Date of Birth: SS#: PATHS Community Medical Center 705 Main Street Danville, Virginia 24541 Voice: 4347914122 Fax: 4347914126 PATHS Community
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What is 4347914122?
4347914122 is a form used for reporting information related to a specific tax matter.
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Individuals or entities who are involved in the tax matter described on the form are required to file 4347914122.
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4347914122 should be filled out according to the instructions provided by the relevant tax authority.
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The purpose of 4347914122 is to accurately report information regarding the tax matter specified on the form.
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4347914122 requires specific information related to the tax matter being reported, such as income, expenses, and deductions.
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