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Page 1 of 23 Rev 08/14/09STATE OF NEVADA DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION of HEALTH CARE FINANCING and POLICY INSTRUCTIONS FOR NEVADA HOSPITAL QUARTERLY REPORT (HER) General Information:
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Rev 081409 is a form used for reporting information to the relevant authority.
Any individual or entity specified by the authority is required to file rev 081409.
Rev 081409 can be filled out by providing the requested information in the designated fields on the form.
The purpose of rev 081409 is to gather specific information for regulatory or compliance purposes.
The information required to be reported on rev 081409 may include financial data, identification details, and other relevant information.
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