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PRINTED: 05/20/2015 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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Form 279 483 is a specific tax form used to report certain financial information to the IRS.
Entities and individuals who meet specific criteria, as outlined by the IRS for Form 279 483, are required to file this form.
To fill out Form 279 483, follow the instructions provided by the IRS, ensuring all required fields are completed with accurate financial data.
The purpose of Form 279 483 is to report certain financial information and comply with regulatory requirements set by the IRS.
The form requires reporting of specific financial details, including income, expenses, and other relevant financial data as specified by the IRS.
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