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Express Scripts Phone 8004178164 Fax 8778375922 () Prior Authorization Form Last Name First Name Prescribers Name Specialty Home Phone Work Phone Office Fax Home Address SCAN ID number City State
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What is 8004178164?
8004178164 is a form used for reporting certain financial information to the Internal Revenue Service (IRS).
Who is required to file 8004178164?
Individuals, businesses, or organizations who meet the specific criteria set by the IRS are required to file 8004178164.
How to fill out 8004178164?
8004178164 can be filled out electronically or manually, with detailed instructions provided by the IRS.
What is the purpose of 8004178164?
The purpose of 8004178164 is to report financial information to the IRS for tax compliance and enforcement purposes.
What information must be reported on 8004178164?
8004178164 requires reporting of specific financial transactions, income sources, and other relevant information as outlined by the IRS.
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