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Augusta Health Care for Women Referral Form 39 Beam Lane, Minersville, Virginia 22939 Phone #: 5402137750 Fax #:5402137753Referring Physician Practice: Patient records must be attached, please send
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Form 5402137750 may be needed by individuals who need to report their income, deductions, and tax liability to the tax authorities. This form is typically used by taxpayers who do not qualify to use the simpler tax forms such as 1040EZ or 1040A. It is important to determine whether this form is applicable to your specific tax situation or consult a tax professional for guidance.
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