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PRINTED: 12/10/2019 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 1210 department of refers to a specific form or document required by the Department of Revenue for reporting certain financial information.
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The purpose of printed 1210 department of is to ensure compliance with tax regulations and to accurately report financial activity to the Department of Revenue.
Information that must be reported includes income, expenses, deductions, and other relevant financial data as specified by the Department of Revenue.
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