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5 PATIENT REGISTRATION IDs: Chart ID: First Name: Patient Is: Q policyholder f 1 Responsible Party Last Name; Middle Initial; Preferred Name; I am Responsible Party (if someone other than the patient)
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Providers of age-restricted products and services require identification to ensure compliance with legal regulations
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Internal Revenue Service (IRS) assigns an individual taxpayer identification number (ITIN) to those who are required to have a U.S. taxpayer identification number but who do not have, and are not eligible to obtain, a Social Security number (SSN) from the Social Security Administration (SSA).
Individuals who do not have and are not eligible to obtain a Social Security number from the Social Security Administration but who have a filing requirement under U.S. tax law.
To apply for an ITIN, you must fill out Form W-7, Application for IRS Individual Taxpayer Identification Number, and provide supporting documentation to the IRS.
The purpose of an ITIN is to facilitate compliance with U.S. tax laws for individuals who are not eligible for a Social Security number.
The ITIN application Form W-7 requires information such as your name, mailing address, foreign address (if applicable), date of birth, place of birth, and supporting documents to establish your identity and foreign status.
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