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PRINTED: 08/23/2016 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: INDIANA UNIVERSITY HEALTH (X4)
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Start by locating the section on the form that asks for your identification number.
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Take your identification card or any other relevant document that contains your identification number.
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Carefully enter your identification number into the designated space on the form, making sure to double-check for any errors.
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If you don't have an identification number or are unsure about it, consult the instructions or guidelines provided with the form or reach out to the relevant authority for clarification.

Who Needs Identification Number:

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Individuals: Identification numbers are typically required for individuals when applying for various official documents such as passports, driver's licenses, social security cards, and government-issued identification cards.
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Employees: Some employers may require employees to provide their identification numbers for tax purposes or to verify their eligibility to work.
03
Students: Educational institutions often require students to provide their identification numbers for enrollment, registration, and record-keeping purposes.
04
Financial Institutions: Banks and other financial institutions may request identification numbers to comply with know-your-customer regulations and verify the identity of their customers.
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Government Agencies: Identification numbers are commonly needed for interactions with government agencies, including applying for benefits, filing taxes, or accessing government services.
Remember, the specific requirements for an identification number may vary depending on the country, organization, or context in which it is being requested.
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The identification number is a unique code or set of numbers assigned to an individual or entity for identification purposes.
Individuals or entities who are required to provide identification information for legal or regulatory purposes are required to file an identification number.
To fill out an identification number, you must provide the required information accurately and completely in the designated form or online platform provided by the authority.
The purpose of an identification number is to uniquely identify an individual or entity and facilitate various transactions, compliance, and record-keeping processes.
The information reported on an identification number may include personal or entity details, such as name, address, contact information, and any other relevant identification data required.
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2016 Indiana IN00191260 Licensure IAC LSC X5 IN00185178 QA X2 FP0V11 X6 X1 CLIA X4 jlh X3 INDIANAPOLIS REFERENCED DEFICIENCIES REGULATORY Unsubstantiated PREFIX continuation CORRECTIVE BLVD PRECEDED compliance DEFICIENCY PROVIDER SUMMARY IDENTIFYING

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