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PAYER FINANCIAL INFORMATION California W&I Code 53285329 SAN FRANCISCO DEPT of PUBLIC HEALTH, CBS CLIENT IDENTIFYING FINANCIAL INFORMATION Clients Last Name First M.I. Confidential Patient Information
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The Avatar PFI Form 62810doc is a document used for reporting financial information.
All individuals or entities that meet the requirements set forth by the Avatar PFI regulations must file the form.
To fill out the Avatar PFI Form 62810doc, you must provide accurate and detailed financial information as required by the regulations.
The purpose of the Avatar PFI Form 62810doc is to collect financial information from individuals or entities subject to Avatar PFI regulations.
The form requires the reporting of various financial information such as income, expenses, assets, and liabilities.
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