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PRINTED: 01/18/2023 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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The 0118 form approved is a tax form used to report certain types of income.
Individuals or entities who have received income that needs to be reported on the form.
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The purpose is to report income and ensure compliance with tax regulations.
Information such as income received, deductions, and taxes owed must be reported.
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