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Human R. Bash, M.D., P.C. Carolina Johnson, PAC, MSFS M. Noelle Maser, PAC, SPAS 10750 Columbia Pike, Suite 401 Silver Spring, MD 20901 Phone: (301) 5936072 Fax: (866) 3821197 www.myhealthysteps.netName
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Write the current date in the format MM/DD/YYYY at the top of the address section.
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Start by writing the house or building number followed by the street name.
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Include any additional information such as apartment number or floor.
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Add the city, state, and zip code on the next line.

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Today's date street address is the current date's street address where the individual or business is located.
Individuals and businesses are required to file today's date street address if they have moved their location.
To fill out today's date street address, you need to provide the complete street address where you are currently located.
The purpose of today's date street address is to ensure that the correct location of individuals and businesses is recorded for potential correspondence.
The information that must be reported on today's date street address includes the street number, street name, city, state, and zip code.
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