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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:15G75706/17/2014FORM
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Printed 0328 department is used for reporting financial information to the relevant department.
Entities that meet certain criteria set by the department are required to file printed 0328 form.
The form can be filled out electronically or manually, following the instructions provided by the department.
The purpose of the form is to gather financial information from eligible entities for regulatory or statistical purposes.
Entities must report their financial data, including income, expenses, assets, and liabilities.
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