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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.
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Individuals or entities that meet certain criteria as defined by the department guidelines are required to file the printed 0913.
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