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PRINTED: 05/04/2012 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Printed 0504 department is for reporting departmental expenses.
Government agencies and departments are required to file printed 0504 department.
Printed 0504 department can be filled out by entering the relevant departmental expenses and financial information.
The purpose of printed 0504 department is to track and report departmental expenses.
On printed 0504 department, information such as expenses, budget allocations, and financial data for a specific department must be reported.
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