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PRINTED: 09/17/2020 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 0801 refers to a specific form used by certain departments for reporting financial data or compliance information.
Organizations and individuals subject to the respective reporting requirements of the department must file printed 0801.
To fill out printed 0801, individuals must provide accurate information as required in each section of the form, following the guidelines provided by the department.
The purpose of printed 0801 is to collect necessary data for regulatory compliance, financial reporting, or statistical analysis.
The information required includes financial figures, operational data, and any other specifics mandated by the department.
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