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PRINTED: 08/05/2019 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 0820 department of refers to a specific form used by the department for recording and reporting certain financial information.
Entities or individuals who meet specific criteria set by the department are required to file the printed 0820 form.
To fill out the printed 0820 form, follow the instructions provided by the department, ensuring all required fields are completed accurately.
The purpose of the printed 0820 form is to collect relevant data for regulatory compliance and taxation purposes.
Information such as income, expenses, and other financial details must be reported on the printed 0820 form.
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