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Auburn Medical Group, Inc 3280 Professional Drive Auburn, CA 95602 (530) 8868630/Fax: (530) 8868629AUTHORIZATION FOR USE OR DISCLOSURE OF HEALTH INFORMATION Patients Name Date of Birth Kaiser Account
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Start by entering the address '3280 Professional Drive' on the first line of the address field.
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If required, enter any additional information such as suite or unit number on the second line of the address field.
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Proceed to fill out the city name in the designated field.
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3280 Professional Drive may be needed by businesses, organizations, or individuals who have an office or a specific location at that address.
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3280 Professional Drive is an address where professional services may be provided or businesses may be located.
Any individual or business entity that operates from or provides services at 3280 Professional Drive may be required to file.
The form for reporting activities at 3280 Professional Drive can usually be filled out online or submitted in person at the relevant authority.
The purpose of reporting 3280 Professional Drive is to maintain accurate records of businesses and services operating from that location.
Typically, information such as the name of the business/entity, type of services provided, contact information, and any relevant licenses or permits must be reported.
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