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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:15549112/18/2017FORM
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Printed 0317 department is related to tax forms or documents specific to a particular department within a government agency.
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The information required to be reported on printed form 0317 depends on the specific requirements of the department associated with the form.
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