Fillable 7 - TN . gov - tn

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Revision: HCPA-PLI-86-20 SEPTEWBER 1986 CBERC) AT'TACH#E$A 3.1-B Plye 1 CMB no. 0 9 3 8 4 1 9 3 State/Territory: TENNESSEE W U U T , DURATIOBI Am) SCOPE OF SBRVICBS PROVIDD WgDICALLY EEgDY CROUP(S) : PREGNANT blDnEN/REA2(3NABIE CLASS l F l CAT IONS OF LND IV lDUALS UNDER AGE 21 h e following mbulatory services u e provided. (within 1 imi tat ions). lnpatient hospital Outpatient hospital Rural health clinic Other...
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