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PRINTED: 08/05/2019 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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Form 0000 in 00298417 in 00299086 is a specific tax form used for reporting certain financial information to the authorities.
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The form requires reporting of income, deductions, credits, and other financial information relevant to tax liability.
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