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Phone: 2058032210 Fax: 2058032214 Patient Information Please complete this entire packet Name: DOB: Sex: Marital Status: Social Security #: Email: Home phone: Cell phone: Work phone: Address: City
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How to fill out phone 205-803-2210 fax 205-803-2214

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01
To fill out a phone number 205-803-2210, follow these steps:
1. Start with the area code '205'.
2. Type a hyphen '-'.
3. Enter the three-digit prefix '803'.
4. Add another hyphen '-'.
5. Finally, input the four-digit line number '2210'.
02
To fill out a fax number 205-803-2214, follow these steps:
1. Begin with the area code '205'.
2. Insert a hyphen '-'.
3. Write the three-digit prefix '803'.
4. Place another hyphen '-'.
5. Lastly, write the four-digit line number '2214'.
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The phone number is for general inquiries and the fax number is for document submissions.
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Anyone who needs to communicate with the specific department or office that uses these contact details.
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