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10/07/2020PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Printed 1028 department is a form used for reporting income received from services provided as an independent contractor.
Individuals who have earned income as an independent contractor are required to file printed 1028 department.
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