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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL ID: 4IDJ Facility ID: 00146 PART I TO BE COMPLETED BY THE STATE SURVEY
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id 4idj is a unique identification number assigned to a specific document or form.
The individuals or entities specified by the relevant authorities are required to file id 4idj.
To fill out id 4idj, you need to provide the requested information accurately and completely as per the instructions provided.
The purpose of id 4idj is to track and identify the specific document or form it is assigned to.
The information required to be reported on id 4idj varies depending on the specific document or form it is assigned to.
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