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PATIENT INFORMATIONPATIENT REGISTRATION Formalist Name Middle Initial Last Name Home Address City State Zip Code Home Phone Number Date of Birth Social Security Number PARENTS INFORMATIONMothers Name
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How to fill out city state zip code

01
Start by locating the appropriate fields on the given form or document.
02
Enter the name of the city in the designated city field.
03
Write the abbreviation or full name of the state in the state field.
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Input the zip code, which consists of five digits, in the zip code field.
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Double-check that all the information entered is accurate and complete.

Who needs city state zip code?

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City state zip code is needed by various entities and individuals, including:
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A city state zip code is a combination of a city, state, and zip code that represents a specific geographic location.
Anyone sending mail or packages that require a specific destination address must include a city state zip code.
Fill out the city, state, and zip code fields on the address form with the correct information for the intended destination.
The purpose of a city state zip code is to ensure accurate and efficient mail delivery by providing specific location information.
The city, state, and zip code of the destination address must be accurately reported on city state zip code.
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