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Form4506TEZShort Form Request for Individual Tax Return Transcript(July 2017) Department of the Treasury Internal Revenue Service OMB No. 15452154 Request Format not be processed if the form is incomplete
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Mount Desert Island Hospital is a 25-bed critical access hospital located in Bar Harbor, Maine.
Mount Desert Island Hospital is required to be filed by healthcare providers who have provided services to patients at the hospital.
Mount Desert Island Hospital can be filled out electronically or by submitting the necessary forms to the hospital administration.
The purpose of Mount Desert Island Hospital is to provide healthcare services to residents and visitors in the Bar Harbor area.
Information such as the services provided, dates of service, patient information, and billing details must be reported on Mount Desert Island Hospital.
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