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Phone: (865) 862 4557www.heartlandinfusion.comFax: (865) 862 4556Evenity Order Form Please fax completed form with patient demographic information, front and back of insurance card (s), recent lab
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What is fax 865 862?
Fax 865 862 is a specific form used by organizations to report certain information required by the IRS.
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Organizations that meet specific criteria outlined by the IRS are required to file fax 865 862.
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The information required includes taxpayer identification, income, deductions, and other relevant financial data.
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