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DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, MD 21244-1850 Center for Medicaid, CHIP, and Survey & Certification
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Submit the completed application form along with any supporting documents as instructed by the department.

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The Department of Health and is a government agency responsible for overseeing public health and healthcare services.
The individuals or organizations required to file the Department of Health and vary depending on the specific requirements and regulations of each jurisdiction.
To fill out the Department of Health and form, you will need to follow the instructions provided by the specific jurisdiction and provide the required information accurately and completely.
The purpose of the Department of Health and is to protect and promote public health, ensure healthcare services are provided effectively, and monitor and respond to public health emergencies or outbreaks.
The specific information required to be reported on the Department of Health and form varies depending on the purpose and jurisdiction. Typically, it may include data on health conditions, healthcare facilities, healthcare professionals, and public health programs.
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