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PRINTED: 02/18/2022 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 0218 form is an official document required for reporting certain financial information to a government agency, often related to tax or compliance matters.

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Entities or individuals who meet specific criteria set by the governing authority, such as businesses or organizations that have certain financial transactions or obligations, are required to file the printed 0218 form.

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The purpose of the printed 0218 form is to collect essential information for tax reporting or compliance purposes, helping the government track and analyze financial activities.

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