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PRINTED: 01/03/2023 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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Start by entering the street number '423' in the designated field on the form.
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Next, fill in 'e' for the street direction as part of the address.
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Finally, complete the address by entering 'Silver Street' in the remaining space provided.

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423 e silver street is a form related to tax filings in the United States, specifically used to report certain types of income or financial transactions.
Individuals or entities who engage in specific financial transactions or income sources outlined by the IRS must file 423 e silver street.
To fill out 423 e silver street, one must provide personal information, details about the financial transactions, and any other required data as specified in the instructions of the form.
The purpose of 423 e silver street is to ensure proper reporting of certain financial activities and compliance with tax regulations.
The information that must be reported includes the nature of the income or transaction, the amounts involved, and any relevant payer or recipient information.
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