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PRINTED: 9/28/2014 DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH CARE FINANCING ADMINISTRATION STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (POC) FORM APPROVED 2567L (XI) PROVIDER/SUPPLIER/CIA
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Printed 9282014 is a form used for reporting financial information.
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The purpose of printed 9282014 is to report financial information accurately.
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