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PRINTED: 05/12/2014 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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The printed 0512 department refers to a specific tax form related to reporting income, expenses, or other financial information required by a government department, usually for business or employment purposes.
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