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Lone Peak Primary Care
74 Kim balls Lane, Suite 260
Draper, Utah 84020
Phone: 8015458480 Fax: 8012531602
Section A: This section must be completed for all Authorizations
Patient Name:Birth Date:Providers
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What is 8015458480?
8015458480 is a form used for reporting certain types of income.
Who is required to file 8015458480?
Individuals or entities who receive the specific types of income reported on the form are required to file 8015458480.
How to fill out 8015458480?
8015458480 can be filled out manually or electronically, following the instructions provided on the form.
What is the purpose of 8015458480?
The purpose of 8015458480 is to report specific types of income to the appropriate tax authorities.
What information must be reported on 8015458480?
Information such as the amount of income received, the source of the income, and any relevant deductions or credits must be reported on 8015458480.
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