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Digestive Disease Endoscopy Center 715 North Weber Street, Suite 100 Colorado Springs, CO 80903 7194736115 FAX 7194733688 Dear Patient: Please read and sign ALL forms included in this section. Complete
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7194736115 is a form used for reporting certain types of income to the tax authorities.
Individuals and businesses who have received income that needs to be reported on 7194736115 are required to file this form.
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