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PRINTED: 04/09/2020 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Printed 0420 department of refers to a specific form used for reporting certain financial or operational data as specified by the relevant department.
Organizations or individuals specified by the department's guidelines, typically those involved in certain industries or activities that require reporting.
To fill out the printed 0420, follow the instructions provided with the form, ensuring all required information is accurately entered and any applicable signatures are included.
The purpose of printed 0420 is to collect specific data from organizations for regulatory compliance and oversight by the department.
The information required typically includes financial figures, operational metrics, and any other data relevant to the department's reporting requirements.
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