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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:12/15/2017FORM
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Printed 1215 department is a form issued by the United States Department of Treasury.
Individuals or entities who meet specific criteria set by the department are required to file printed 1215 department.
Printed 1215 department can be filled out electronically or manually following the instructions provided by the Department of Treasury.
The purpose of printed 1215 department is to gather relevant financial information from individuals or entities for regulatory purposes.
Printed 1215 department requires reporting of financial data such as income, expenses, assets, and liabilities.
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