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PRINTED: 09/19/2016 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 0923 is a form used by the Department of Revenue for specific tax reporting purposes.
Businesses and individuals who meet certain financial thresholds and engage in activities defined by the Department of Revenue must file the printed 0923.
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The purpose of printed 0923 is to collect information for tax assessment and compliance, helping the Department of Revenue track financial activity.
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