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PRINTED: 05/18/2023 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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From 022023 through 022123 refers to a specific time period extending from February 2023 to February 2024.
Individuals or entities that have income, deductions, or credits that need to be reported for the fiscal year spanning from February 2023 to February 2024 are required to file.
To fill out the form for the period from 022023 through 022123, individuals must gather their financial information, complete the required fields accurately, and ensure all supporting documentation is attached before submission.
The purpose is to report income, adjust tax obligations, and provide necessary financial information to relevant authorities for that specific time frame.
Information that must be reported includes total income, allowable deductions, tax credits, and any other relevant financial details pertinent to the reporting period.
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