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PRINTED: 06/17/2022 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 printed 0617 form approved is a specific tax form used by certain organizations to report financial information to the relevant tax authorities.
Generally, organizations that meet specific criteria set by the tax authority, such as non-profits or certain businesses, are required to file the printed 0617 form approved.
To fill out the printed 0617 form approved, you must provide accurate financial data, organizational details, and any supporting documentation as specified in the form's instructions.
The purpose of the printed 0617 form approved is to ensure that the organization complies with tax reporting requirements and to provide transparency regarding its financial activities.
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