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PRINTED: 08/26/2015 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 0826 refers to a specific form or report issued by a governmental department, often related to compliance or reporting requirements.
Entities or individuals that fall under the jurisdiction of the department's requirements, typically including businesses and organizations that meet certain criteria.
The form should be filled out by providing accurate information as required, including identification details, financial data, and other relevant information specific to the requirements outlined by the department.
The purpose is generally to ensure compliance with regulatory standards, collect necessary data for analysis, or report specific activities as mandated by law.
Information typically includes identification numbers, financial records, compliance details, and any other information required by the department's guidelines.
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