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*LGL×PROVIDE TOFROMPATIENTALASKA NATIVE MEDICAL CENTER 4315 Diplomacy Dr. Anchorage, AK 99508 Email: akahimroiteam antic.org Phone: 9077293019 Fax: 9077293001 AUTHORIZATION FOR USE AND DISCLOSURE

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What is provide to?

Provide to is a tax form used to report certain payments made to individuals or businesses.

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Any individual or business that makes payments that are reportable on a provide to form is required to file.

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The purpose of provide to is to report payments made to individuals or businesses to the IRS.

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Provide to forms typically include the recipient's name, address, and tax identification number, as well as the amount of payment made.

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