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04/28/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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in00402850 and in00402509 are forms used for reporting specific financial information to the relevant tax authorities.
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The purpose of in00402850 and in00402509 is to collect information for tax assessment and compliance purposes.
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