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PRINTED: 07/13/2016 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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F 167 483 is a form used for reporting certain financial information to the IRS.
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The purpose of f 167 483 is to report certain financial transactions to the IRS for tax purposes.
F 167 483 requires reporting details such as income, expenses, and other financial transactions.
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