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PreAuthorization Request Form Fax: (415) 3571292 Telephone: (415) 5477818 ext.7080NOTE: All fields marked with an asterisk (*) are required. Select all that apply:New Request Select type of request*:UrgentModification
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What is fax 415 357-1292?
Fax 415 357-1292 is a fax number used for filing certain documents with the designated department.
Who is required to file fax 415 357-1292?
Individuals or entities specified by the department are required to file documents via fax 415 357-1292.
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The purpose of fax 415 357-1292 is to facilitate the submission of specific documents as required by the department.
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