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["附件4"]
["门店基础信息表"]
["序号","门店名称","营业执照名称","社会统一识别码","城市","区/县","镇/乡/街道","详细地址","联系人","联系方式"]
[1,"XXXX","XXXXX","XXXX","XXXXX","XXXXX","XXXXX","XXXXX","XXXXX","XXXXX"]
[]
["填写说明：本表需填写完整，不允许有空白格，如因信息未填全导致审核不通过或后续流程无法正常流转，后果由企业承担"]
[null,"门店实际名称","门店营业执照名称","营业执照统一信用码","填写门店具体地址",{"$nulls":3},"门店联系人","门店联系方式"]
[null,"如一个营业执照涉及多家门店，请在此表中填全"]