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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL ID: D0D7 PART I TO BE COMPLETED BY THE STATE SURVEY AGENCY Facility
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It is a unique identification number assigned to a specific form or document.
Individuals or entities specified by the governing body.
By providing the necessary information as per the instructions provided on the form.
To gather specific information or data for regulatory or compliance purposes.
Details as requested on the form, such as personal or financial information.
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