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PRINTED: 08/05/2016 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: (X3) DATE SURVEY COMPLETED R
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Identification number - in is a unique number used to identify individuals or entities.
Individuals or entities who meet certain criteria set by the governing body.
Identification number - in can be filled out online or through a physical form provided by the governing body.
The purpose of identification number - in is to track and monitor individuals or entities for various reasons.
Information such as name, address, and other identifying details may be required to be reported on identification number - in.
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