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PRINTED: 03/09/2020 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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0309 form approved is a tax form used for reporting certain income or transactions to the Internal Revenue Service (IRS).
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0309 form approved may require reporting of income, expenses, investments, or other financial transactions depending on the specific requirements outlined by the IRS.
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