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PRINTED: 09/29/2014 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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Printed 0709 refers to a specific form used by a department for reporting purposes, typically related to financial or tax information.
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Entities or individuals who meet certain criteria, often involving income or business operations, are required to file the printed 0709 form.
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The information that must be reported includes income details, tax liabilities, deductions, and any other required financial disclosures as specified in the form instructions.
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