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DEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15G29012/20/2021FORM
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w 0000 in00296511 is a tax form used to report income.
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The purpose of w 0000 in00296511 is to report income to the IRS for tax purposes.
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Income received, including wages, salaries, tips, and other income.
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