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PRINTED: 09/07/2016 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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Printed form 0907 is used by the Department of Revenue to gather information about taxpayers.
All taxpayers who meet the requirements set by the Department of Revenue.
Printed form 0907 can be filled out by following the instructions provided by the Department of Revenue.
The purpose of printed form 0907 is to collect necessary tax information from taxpayers.
Taxpayers must report their financial information, income sources, and deductions on printed form 0907.
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