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CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY
DEPARTMENT OF PUBLIC HEALTH
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CUA
IDENTIFICATION NUMBER:20054055
NAME OF PROVIDER OR
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Who needs x1 providersuppliercua?
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Individuals or organizations applying to become a provider or supplier in a specific field or industry.
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What is x1 providersuppliercua?
x1 providersuppliercua is a form used to report information about provider and supplier relationships.
Who is required to file x1 providersuppliercua?
Healthcare providers and suppliers are required to file x1 providersuppliercua.
How to fill out x1 providersuppliercua?
x1 providersuppliercua can be filled out online or by mail, following the instructions provided on the form.
What is the purpose of x1 providersuppliercua?
The purpose of x1 providersuppliercua is to provide transparency and accountability in provider and supplier relationships within the healthcare industry.
What information must be reported on x1 providersuppliercua?
Information such as financial relationships, ownership interests, and any compensation arrangements must be reported on x1 providersuppliercua.
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