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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15502607/08/2016FORM
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The printed 0708 form is typically associated with specific tax or financial reporting requirements for certain departments or agencies.
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The printed 0708 form must include information such as taxpayer identification, income details, deductions, and other relevant financial data as specified by the department.
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