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PRINTED: 03/10/2011 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 0906 is a form used by the Department of Revenue to report certain tax information.
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You can fill out printed 0906 by providing accurate and complete tax information as requested on the form.
The purpose of printed 0906 is to collect and record tax-related information for reporting and compliance purposes.
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