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128 Medical Park Road, Suite 201 Mooresville, NC 28117 PH: 704.235.1827/FX: 704.235.1823Dr. Naomi Simon Dr. Michael Redmond Kristin Prophase, PACAUTHORIZATIONFORTHEUSEANDDISCLOSUREOFPROTECTEDHEALTHINFORMATION____________PrintPatientNameDateofBirthStreetAddress/P.O.
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ph 704 is a form used for reporting information about certain transactions to the IRS.
Individuals and entities who engage in reportable transactions are required to file ph 704.
ph 704 can be filled out electronically or on paper, following the instructions provided by the IRS.
The purpose of ph 704 is to provide the IRS with information about reportable transactions for tax enforcement purposes.
ph 704 requires information such as the type of transaction, amount involved, parties involved, and other details.
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