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HEART CONSULTANTS 1120 N 103rd PLAZA, SUITE 100 OMAHA, NE 68114 Telephone: (402) 3915055 Facsimile: (402) 3915053 AUTHORIZATION FOR REQUEST OR RELEASE OF MEDICAL INFORMATION (Please Print) Patients
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Heart consultants 1120 n is a tax form used by certain types of businesses, including corporations, to report their income, expenses, and other financial information to the IRS.
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