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PRINTED: 11/14/2014 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 92914 is a type of tax return or information report that must be completed for specific tax-related purposes, often related to certain financial transactions or status.

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Individuals or entities that meet the criteria set forth by the IRS for financial reporting related to certain income, deductions, or credits are required to file Form 92914.

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The purpose of Form 92914 is to report certain financial information to the IRS, helping to ensure compliance with tax laws and regulations.

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The information that must be reported on Form 92914 includes taxpayer identification details, financial figures, relevant deductions, and any credits claimed during the tax year.

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