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PRINTED: 09/26/2016 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: ROCKDALE FORT WAYNE (X4) ID
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How to fill out identification number
01
Start by obtaining the identification form from a government office or online portal.
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What is identification number?
Identification number is a unique code or number assigned to an individual or entity for identification purposes.
Who is required to file identification number?
Individuals or entities who are required to provide identification information for tax or legal purposes are required to file for an identification number.
How to fill out identification number?
Identification numbers can typically be filled out online through a specific application or form provided by the issuing authority.
What is the purpose of identification number?
The purpose of an identification number is to uniquely identify an individual or entity for various purposes such as taxation, legal matters, or identification verification.
What information must be reported on identification number?
Information required for an identification number may include personal details, contact information, and any relevant identification documents.
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