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02/14/2018PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Printed 0214 department is a tax form used for reporting information related to certain tax credits.
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Information regarding the tax credits received during the tax year must be reported on Printed 0214 department.
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