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PRINTED: 06/28/2021 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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0628 form approved is a tax form used by businesses to report information about their excise taxes.
Businesses that are subject to excise taxes are required to file the 0628 form approved.
To fill out the 0628 form approved, businesses must provide information on their excise taxes, such as the type of tax, amount owed, and payment details.
The purpose of the 0628 form approved is to report and pay excise taxes to the IRS.
Businesses must report information regarding their excise taxes, including the type of tax, amount owed, and payment details.
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