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PRINTED: 08/06/2021 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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What is 0617 - form approved?

0617 - form approved is a tax form used to report certain information to the Internal Revenue Service (IRS).

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Any individual or entity that meets the criteria specified by the IRS is required to file 0617 - form approved.

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The purpose of 0617 - form approved is to report specific information to the IRS for tax purposes.

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The information that must be reported on 0617 - form approved includes...