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12/20/2019PRINTED: 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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The printed 0129 department refers to a specific form used for reporting certain financial or employment information, typically associated with state or federal guidelines.
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Required information typically includes identification details, income amounts, deductions, and any additional financial disclosures pertinent to the reporting period.
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