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PRINTED: 09/15/2017 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 0516 is a form used by the Department of Taxation for specific tax reporting purposes.
Entities and individuals who meet certain criteria set by the tax authorities are required to file printed 0516.
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