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Form #11404 (03/18/22)COMPUTED TOMOGRAPHY (CT) LUNG CANCER SCREENING ORDER Please fill out each section and fax to the appropriate facility listed below Patients Legal Last NameFirst NameMiddleDate
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What is form 11404 031822?
Form 11404 031822 is a tax form used for reporting certain information to the IRS.
Who is required to file form 11404 031822?
Individuals or entities meeting specific criteria set by the IRS are required to file form 11404 031822.
How to fill out form 11404 031822?
Form 11404 031822 must be filled out accurately and completely following the instructions provided by the IRS.
What is the purpose of form 11404 031822?
The purpose of form 11404 031822 is to report specific information required by the IRS for tax compliance purposes.
What information must be reported on form 11404 031822?
Form 11404 031822 requires reporting of information such as income, expenses, deductions, and credits.
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