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Ophthalmology Call: (877) 8831392 Fax: (844) 4369126 Patient Information:Name:DOB:Gender:MFAddress: ___ City: ___ State: ___ Zip: ___ Phone: ___ Alt. Phone: ___ Email: ___ Ht: ___ Wt: ___ Care Giver:
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Call 877 883-1392 fax refers to a specific fax line for submitting documents or information related to a particular administrative process or agency.
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