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PRINTED: 08/21/2018 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 0821 refers to a specific form used by a department, typically for reporting or filing purposes.
Entities or individuals who meet certain criteria, usually related to tax obligations or regulatory requirements, are required to file the printed 0821 form.
To fill out printed 0821, you need to provide accurate information as required by the form, ensure all sections are completed, and any necessary supporting documentation is attached.
The purpose of printed 0821 is to collect specific information for regulatory compliance or reporting, often related to financial or tax data.
Information typically includes identification details, financial data, and any other pertinent information as required by the form's instructions.
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