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Darwin National Assurance Company (Insurer) Return and make checks payable to: American Professional Agency, Inc. 95 Broadway, Amityville, NY 11701 (631) 6916400 (800) 4216694 APPLICATION FOR PSYCHIATRISTS
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The APA 00010 15 AACAP is a form required by the IRS for certain taxpayers to report their capital gains and losses.
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