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PRINTED: 09/03/2019
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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Blue Ridge refers to a specific designation within a tax or reporting form, often related to geographic or jurisdictional classifications.
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Individuals and businesses operating or earning income in the Blue Ridge region or under related tax obligations may be required to file this form.
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The purpose is to ensure that individuals and businesses comply with local tax laws and regulations specific to the Blue Ridge area.
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