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PRINTED: 02/10/2010 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 0210 department is a specific form used by the Department of Revenue for tax purposes.
Any individual or business entity that meets the criteria set forth by the Department of Revenue.
The form can be filled out either online or by mail, following the instructions provided by the Department of Revenue.
The purpose of the form is to report certain tax-related information to the Department of Revenue.
The form typically requires information such as income, expenses, deductions, and credits.
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