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PRINTED: 08/19/2020 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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Printed0804 department of health is a form required by the health department to report certain health information.
All healthcare providers and institutions are required to file printed0804 department of health.
Printed0804 department of health can be filled out online or by submitting a physical form with the required information.
The purpose of printed0804 department of health is to track and monitor public health data.
Printed0804 department of health requires reporting of patient demographics, diagnosis codes, and treatment information.
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