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PRINTED: 09/13/2019 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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Printed 0913 refers to a specific form or document used by the Department of [specific department name] for reporting purposes.
Individuals or entities that meet certain criteria as defined by the department guidelines are required to file the printed 0913.
To fill out printed 0913, gather all necessary information, follow the provided instructions on the form, and ensure all sections are completed accurately.
The purpose of printed 0913 is to collect specific data for regulatory compliance, reporting, and analysis by the department.
Information including identifying details, financial data, compliance metrics, and any other specific data requested by the department must be reported.
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