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01/22/2019PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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To fill out form R 0000 - Indiana, follow these steps:
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Download the form from the Indiana government website or collect a physical copy.
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r 0000 - indiana is a form used for reporting certain information to the state of Indiana.
Individuals or entities who meet specific criteria set by the state of Indiana are required to file r 0000 - indiana.
r 0000 - indiana can be filled out either manually or electronically, following the instructions provided by the state of Indiana.
The purpose of r 0000 - indiana is to collect certain information from individuals or entities for compliance and regulatory purposes.
r 0000 - indiana may require the reporting of specific financial or non-financial information as determined by the state of Indiana.
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