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Fax To:ImprimisRxFax:9495511950From: Phone: 8444466979Fax: Phone:Number of Pages:Date:Comments:PROTECTED HEALTH INFORMATION BUSINESS CONFIDENTIAL INFORMATION This fax is intended only for the exclusive
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Please deliver to is the designated recipient or address where a specific item or document needs to be delivered.
The person or entity responsible for sending or delivering the item is required to fill out the please deliver to section.
To fill out please deliver to, simply write the name of the recipient or address where the item should be delivered.
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The information that must be reported on please deliver to includes the recipient's name and address.
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