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PRINTED: 11/21/2018 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 1226 form is a government document that has been approved for specific reporting requirements, usually related to tax or financial information.
Individuals and entities that meet specific criteria set by the governing authority must file the printed 1226 form approved.
To fill out the printed 1226 form, gather all necessary information and follow the instructions provided on the form, ensuring accuracy and completeness.
The purpose of the printed 1226 form is to provide a standardized way for reporting certain financial transactions or tax information to the relevant authorities.
Information that must be reported typically includes identification details, financial transactions, and compliance-related information as specified by the governing authority.
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