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PRINTED: 02/22/2016 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: INDIANA UNIVERSITY HEALTH (X4)
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How to fill out identification number - in:
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Identification number - in is a unique number assigned to individuals or entities for tax or legal purposes.
Who is required to file identification number - in?
Individuals or entities who are subject to tax laws or regulations requiring them to have an identification number - in are required to file.
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To fill out identification number - in, individuals or entities must provide accurate and up-to-date information requested on the form.
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The purpose of identification number - in is to uniquely identify individuals or entities for tax or legal purposes.
What information must be reported on identification number - in?
Information such as name, address, and tax identification number may need to be reported on identification number - in.
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