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EXHIBIT 200
(Rev. 30, 121507)
MODEL LETTER ACKNOWLEDGING COMPLAINT ALLEGING
NONCOMPLIANCE WITH 42 CFR 489.24 AND/OR THE RELATED
REQUIREMENTS OF 42 CFR 489.20 INVESTIGATION NOT WARRANTED(Date)
Complainant
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What is som - exhibit 200?
Som-exhibit 200 is a form used to report certain financial information.
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