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02/05/2020PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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The printed 0706 department is a form used for reporting certain information to the relevant department.
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The specific information that must be reported on the printed 0706 department form may vary depending on the requirements of the issuing department.
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