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PRINTED: 08/26/2014 FORM APPROVED DEPARTMENT 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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79rv22 - state of is a form used to report state tax information.
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Individuals or businesses who have tax obligations in the state are required to file 79rv22 - state of.
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The information reported on 79rv22 - state of includes income, deductions, and any credits eligible for state taxes.
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