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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15158101/23/2014FORM
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Printed 0123 department is the form used for reporting information about sales and use tax.
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Information such as total sales, taxable sales, tax collected, and any exemptions must be reported on printed 0123 department.
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