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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:15514909/10/2013FORM
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In00133954 substantiated federalsta is a form used to report substantiated federal tax payments.
Individuals or entities who have made substantiated federal tax payments are required to file in00133954 substantiated federalsta.
To fill out in00133954 substantiated federalsta, you need to provide detailed information about the federal tax payments made.
The purpose of in00133954 substantiated federalsta is to report and document substantiated federal tax payments.
On in00133954 substantiated federalsta, you must report the amount and date of federal tax payments made.
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