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PRIOR AUTHORIZATION FORM Medicaid Unless otherwise indicated below, authorization quantities are limited to the manufacturer recommended dosagePhone: 8014424912 or 8004423129Fax back to: 8014423006

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How to fill out phone 801-442-4912 or 800-442-3129

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To fill out the phone number 801-442-4912 or 800-442-3129, follow these steps:

02

Start by entering the area code, which is '801' or '800'.

03

Follow it with a hyphen.

04

Enter the next three digits, which are '442'.

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Add another hyphen after the three digits.

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Finally, complete the phone number by entering the last four digits, which are '4912' or '3129'.

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Anyone who wants to contact the owner of the phone number '801-442-4912' or '800-442-3129' needs this phone number. It could be an individual looking to make a personal call or a business trying to reach a potential customer. The specific need depends on the context and the purpose of the call.

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