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07/12/2019PRINTED: 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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Printed 0712 refers to a specific form or document related to the department of income, taxation, or financial reporting.

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The purpose of printed 0712 is to provide the department with necessary financial information for purposes such as taxation, auditing, or compliance.

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