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Customer Service (800) 3779594 Toll Free (505) 3417493 In Albuquerque PRIOR AUTHORIZATION REQUEST Urgent Requests Telephone Numbers: Fax Numbers: (877) 2620187 Toll Free (505) 7987371 In Albuquerque
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It is a form required to be filed by certain entities in New Mexico.
Entities with specific criteria set by the state of New Mexico.
The form should be completed accurately and submitted with all necessary information.
The form is used to report relevant business information to the state.
Details about the entity's financial activities, ownership, and other relevant data.
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