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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES01/17/2012FORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO. 09380391STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Lafayette in47904 is a zip code in Lafayette, Indiana.
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The purpose of Lafayette in47904 is to report tax information and ensure compliance with local regulations.
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