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PRINTED: 07/29/2021 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:A PLACE OF THEIR OWN LLC (X4)

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What is printed 0729 form approved?

Printed 0729 form approved is a document issued by the tax authority for reporting certain information.

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Printed 0729 form approved requires reporting of income, expenses, and other financial information as per the tax regulations.

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