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Skin Center of South Miami PATIENT INFORMATION How did you learn about our office? DATE: SOCIAL SECURITY # NAME: First Middle Last LOCAL ADDRESS: City: State: Zip Code: PERMANENT ADDRESS: City: State:
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What is our office location?
Our office is located at 123 Main Street, Anytown, USA.
Who is required to file our office location?
Typically, the registered agent or business owner is required to file the office location.
How to fill out our office location?
You can fill out the office location by providing the address on the designated form provided by the local business regulatory authority.
What is the purpose of our office location?
The purpose of filing an office location is to establish a legal address for the business where official correspondence can be sent.
What information must be reported on our office location?
You must report the physical address, including street number and name, city, state, and zip code.
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