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NOTICE OF PRIVACY PRACTICES Benjamin A. Drunk, D.D.S. 980 Main Street Montebello, AL 35115 (205) 6652031 (205) 6655560 fax THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
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Start by locating the form or document that requires you to provide your contact information.
02
Find the designated sections for phone numbers. It is likely that you'll see separate spaces for the area code and the remaining digits.
03
In the first space, enter the area code "205."
04
In the second space, enter the phone number "665-2031."
05
Move to the next section or box, which should be for a secondary phone number, if applicable.
06
Again, enter the area code "205" in the designated space.
07
Enter the phone number "665-5560" in the following space.

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205 665-2031 205 665-5560 is a form used for reporting certain information to the relevant authorities.
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