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Tel:413.583.6750/ Fax:833.974.2219 Auth for Use & Disclosure of Medical Record Info Patient Information: Patient Full Name:Date of Birth:Patient Address: City:Home Phone: State:Release of Information:Mail
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What is tel413?
tel413 is a form used for reporting certain information related to telecommunications services.
Who is required to file tel413?
Telecommunications service providers are required to file tel413.
How to fill out tel413?
Tel413 can be filled out online or submitted via mail following the instructions provided on the form.
What is the purpose of tel413?
The purpose of tel413 is to collect data on telecommunications services for regulatory and statistical purposes.
What information must be reported on tel413?
Information such as total revenues, number of subscribers, and types of services offered must be reported on tel413.
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