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890 S. PARADOX STREET, SUITE 300 ? PENSACOLA, FL 32502 ? (850) 433-1656 VOICE ? (850) 433-1996 FAX PATIENT INFORMATION: Name: DOB: (Last) (First) (Middle Initial) (Month/Day/Year) Street Address:
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890 s p alafox is a form used to report information about certain financial transactions.
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Individuals or entities who have conducted specific types of financial transactions are required to file 890 s p alafox.
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Information such as transaction amounts, dates, and parties involved must be reported on 890 s p alafox.
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