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PRINTED: 04/19/2018 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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The 04192018 form approved is a specific tax or compliance form recognized by a regulatory authority, intended to be submitted for various reporting or regulatory purposes.
Entities or individuals subject to the reporting requirements set forth by the regulatory authority relevant to the 04192018 form are required to file it.
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The purpose of the 04192018 form approved is to ensure compliance with regulatory requirements, providing necessary data for tax or financial reporting.
The 04192018 form approved requires details such as income, deductions, relevant personal identification information, and any other data pertinent to the filing entity or individual.
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