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PRINTED: 02/09/2015 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 0209 refers to a specific form or document used for reporting certain information to a department, such as tax records, financial details, or compliance data.
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Printed 0209 typically requires reporting of financial figures, identifying information of the filer, and any relevant supporting documentation as specified by the department.
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