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An L STAR PEDIATRICS 702 G O R D O N D R I V E × T O N, P E N N S Y L V A N I A 19341 (610) 3 6 3 1 3 3 0 F A X (610) 5248574 HIPAA COMPLIANT AUTHORIZATION FOR R E L E A S E O F MEDICAL F O R M A

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All star is a form used to report all income received during the year.

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The purpose of all star is to report income to the tax authorities.

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