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Osceola Regional Medical Center: 8556680697 Phone: 8886165721Section A: This section must be completed for all Authorizations *Required *Patient Name:*Date of Birth:*Providers Name:*Recipients Name:Osceola
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Section A is the first section of the form.
All taxpayers are required to file section A of the form.
Section A should be filled out with accurate and up-to-date information.
The purpose of section A is to gather basic information about the taxpayer.
Section A typically requires the taxpayer's name, address, and social security number.
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