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File GRAPHIC print DO NOT Processors Filed Data DAN: 93493132019314 OMB No 15450047Return of Organization Exempt From Income Tax990Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue
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Form Villages Tri-County Medical is a specific medical form used by residents within the Tri-County area for the purpose of reporting medical information as required by local regulations.
Residents of the Tri-County area who receive medical services or benefits under the local health programs are required to file Form Villages Tri-County Medical.
To fill out Form Villages Tri-County Medical, individuals need to provide accurate personal information, details of the medical services received, and any relevant insurance information as prompted on the form.
The purpose of Form Villages Tri-County Medical is to collect necessary medical data for health program accountability, funding, and service provision within the Tri-County region.
The information that must be reported includes personal identification details, medical service details, dates of service, and insurance coverage information.
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