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FPO ID 0 0 4 0Conditions of Participating in the Patient PortalAccess to this secure web portal is an optional service, and we may suspend or terminate access at any time and for any reason. If we
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id 004 is a form used for reporting income earned from miscellaneous sources.
Individuals who have income from sources other than wages or salary may be required to file id 004.
Fill out id 004 by providing details of income earned from miscellaneous sources and any applicable deductions.
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