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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:03/10/2014FORM
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Form approved OMB No. refers to a specific form that has received approval from the Office of Management and Budget (OMB) for use by federal agencies, indicating that it meets the necessary standards for information collection.
Individuals or businesses that are required to provide information to federal agencies as specified by the form must file it.
To fill out form approved OMB No., carefully read the instructions provided with the form, provide the requested information accurately, and ensure that all required sections are completed before submission.
The purpose of the form is to collect specific data from individuals or organizations to help federal agencies carry out their responsibilities effectively.
The information that must be reported typically includes identification data, details relevant to the specific agency's needs, and any other information as outlined in the form's instructions.
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