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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:15016506/20/2012FORM

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The printed 0620 department of pertains to specific tax forms used for reporting income and deductions for a particular department.

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The printed 0620 form requires reporting of income, deductions, and any relevant tax credits that apply to the individual or business.

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