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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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Individuals who are required to report their telephone usage or expenses for reimbursement or tax purposes.
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Any organization or entity that requires documentation of telephone usage for auditing purposes.
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tel413 is a form used for reporting certain information related to telecommunications services.
Telecommunications service providers are required to file tel413.
Tel413 can be filled out online or submitted via mail following the instructions provided on the form.
The purpose of tel413 is to collect data on telecommunications services for regulatory and statistical purposes.
Information such as total revenues, number of subscribers, and types of services offered must be reported on tel413.
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