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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:15552611×25/2014FORM
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Printed 1207 Department of Agriculture Form
All agricultural businesses and farms
The form can be filled out electronically or by hand with all required information
To report agricultural production and sales data
Information on crops planted, harvested, and sales revenues
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