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20001 Do Not Tear From Hardware: Rx # 20001Pan # Full DenturesAuthentic PartsYesNoCustom Tray Occlusion Rim Combo Tray
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Rev 4 Proof American is a form used to provide proof of American citizenship.
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The purpose of rev 4 Proof American is to verify and validate an individual's American citizenship.
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Information such as name, date of birth, place of birth, and any relevant documentation proving American citizenship must be reported on rev 4 Proof American.
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