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PRINTED: 05/22/2017 FORM APPROVEDDEPARTMENT 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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The 0522 department refers to the printed form used by a specific department for reporting purposes.
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Individuals or businesses who are instructed by the department to file the printed 0522 form are required to do so.
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The purpose of the printed 0522 form is to collect specific data or information relevant to the department's operations or regulations.
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The specific information required to be reported on the printed 0522 form will be outlined by the department issuing the form.
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