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PRINTED: 09/20/2006 FORM APPROVED Alabama Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION
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The printed 0920 form approved is a tax form used for reporting certain income or deductions.
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Individuals or entities with specific income or deductions as required by law are required to file the printed 0920 form approved.
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The purpose of the printed 0920 form approved is to report certain income or deductions to the relevant tax authorities.
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