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Issuing Company:MedPro RRG Risk Retention GroupPHYSICIAN APPLICATION INSTRUCTIONS1. Please answer all questions. If a question is not applicable, print, \"n/a\".2. This application must be completed
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This application must be a form for submitting financial information.
Individuals or entities with income or assets above a certain threshold may be required to file this application.
This application must be filled out completely and accurately, including all required financial information.
The purpose of this application must be to report financial information for tax or regulatory purposes.
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