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PRINTED: 01/22/2026 DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICESOMB NO. 09380391STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS(X1) PROVIDER/SUPPLIER/CLIA
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The 115 White Road King is a type of governmental form used for reporting certain financial information, often related to taxes or business transactions.
Typically, individuals or businesses that meet specific financial criteria or engage in certain types of transactions are required to file the 115 White Road King.
To fill out the 115 White Road King, you must provide accurate financial information as per the guidelines specified in the instructions, including income, expenses, and any applicable deductions.
The purpose of the 115 White Road King is to ensure compliance with financial reporting requirements and to provide the government with necessary data for tax collection or regulatory purposes.
The information that must be reported on the 115 White Road King typically includes the filer’s identification details, financial income, expenses, deductions, and any other relevant financial data related to the reporting period.
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