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PRINTED: 09/10/2024 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:TAPESTRY EATING DISORDER PROGRAM
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The printed 09102024 form approved is a tax form used for reporting certain financial information as per the regulations set by the tax authority.
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To fill out the printed 09102024 form approved, you need to provide accurate financial data, personal identification details, and any other required information as outlined in the form instructions.
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The purpose of the printed 09102024 form approved is to ensure that taxpayers report their income and other relevant financial information, facilitating the assessment of taxes owed.
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The printed 09102024 form approved must include personal identification information, income details, deductions, credits, and any other relevant financial data as required by the tax authority.
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