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PRINTED: 10/14/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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The printed 0506 form approved is a document issued by the IRS for tax reporting purposes.
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The purpose of the printed 0506 form approved is to report necessary tax information to the IRS.
The printed 0506 form approved requires reporting of income, expenses, deductions, and other relevant tax information.
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