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PRINTED: 02/12/2021 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:KINGSBRIDGE HOUSE (X4) ID PREFIX

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What is printed 0212 form approved?

The printed 0212 form is an official document used for tax reporting purposes, specifically designed for certain types of income or entities. It is approved by the relevant tax authority and must be used in accordance with regulations.

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The purpose of the printed 0212 form is to report specific types of income or transactions to the tax authorities to ensure proper tax compliance and assessment.

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The printed 0212 form must report information such as the type of income, amounts received, taxpayer identification numbers, and any other relevant details as specified by the tax authority.

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