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The original purpose of this number was to track individuals' accounts within the Social Security program. It has since come to be used as an identifier for individuals within the United States, although rare errors occur where duplicates do exist.

Employee, patient, student, and credit records are sometimes indexed by Social Security number. The U.S. Armed Forces has used the Social Security number as an identification number for the Army and Air Force since 1969, the Navy and Marine Corps since 1972, and the Coast Guard since 1974.

Social Security was originally a universal tax, but when Medicare was passed in 1965, objecting religious groups in existence prior to 1951 were allowed to opt out of the system. Because of this, not every American is part of the Social Security program, and not everyone has a number.

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