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12×21/2021PRINTED: 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 1210 department is a form used for reporting information about certain financial transactions.
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The printed 1210 department can be filled out online or by mail, following the instructions provided on the form.
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