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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15570809/11/2012FORM
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The purpose of printed 0302 is to collect specific information for compliance with regulatory requirements, often related to taxation.
Required information typically includes identification details, financial data, and other information relevant to the reporting criteria.
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