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03/21/2018PRINTED: 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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Tloll -itjui r -doh is a form used for reporting specific financial or tax-related information to governmental authorities.
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The specific information required includes income details, deductions, credits, and any applicable financial transactions.
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