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1 1. Last Name First Name DO NOT WRITE IN THIS SPACE MI 2. Patient Number LABORATORY NUMBER N.C. Department of Health and Human Services State Laboratory of Public Health 4312 District Drive P.O.
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DHHS 3431 - state is a form used by the Department of Health and Human Services to collect information about state programs and services.
Certain state agencies and organizations receiving funds from DHHS may be required to file DHHS 3431 - state.
DHHS 3431 - state should be filled out accurately and completely, following the instructions provided by DHHS.
The purpose of DHHS 3431 - state is to track the allocation and usage of funds for state programs and services.
Information such as program expenditures, outcomes, and compliance with regulations may need to be reported on DHHS 3431 - state.
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