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Arkansas Department of HealthMedical Marijuana Physician Written Certification
Patient Information
First NameMILast Backstreet Number and Street Name (or PO Box)
Unit Numbering Type (Apt, Unit, Suite,
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What is street number and street?
Street number is the numerical part of an address that identifies a specific building. The street is the name of the road where the building is located.
Who is required to file street number and street?
Any individual or entity that owns or rents a property and uses that property for business or residential purposes is required to provide their street number and street.
How to fill out street number and street?
To fill out the street number and street, simply write the numerical street number followed by the name of the street on the designated address line on the form.
What is the purpose of street number and street?
The purpose of street number and street is to accurately identify the location of a property for mail delivery, emergency services, and other official purposes.
What information must be reported on street number and street?
The information that must be reported on street number and street includes the specific numerical building address and the name of the road.
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