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PRINTED: 04/12/2019 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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0426 form approved is a tax form used for reporting certain types of income to the IRS.
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Individuals or entities who receive income that is required to be reported on the form are required to file 0426 form approved.
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