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GASTROENTEROLOGY INFUSION REFERRAL FORM
PHONE 855.896.9254 I FAX 855.370.0086
Remove above portion before faxing. Please complete the prescription form in its entirety and fax with secure cover sheet
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What is 9254 i fax 855?
9254 i fax 855 is a form used for reporting certain financial information to the IRS.
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Individuals and businesses meeting certain criteria are required to file 9254 i fax 855.
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9254 i fax 855 can be filled out manually or electronically depending on the preference of the filer.
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The purpose of 9254 i fax 855 is to provide the IRS with specific financial information for tax purposes.
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9254 i fax 855 requires reporting of income, expenses, and other financial details as specified by the IRS.
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