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SIGNATURE DOCUMENT FOR HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHS001046900001 UNDER THETAS TARGETED OPIOID RESPONSE TREATMENT AND ADMINISTRATION GRANT PROGRAM I. PURPOSE The Health and
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State targeted response is a report filed to address specific issues or concerns in a particular state.
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Any individual or entity required by the state to do so.
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Fill out the form with accurate and relevant information as per the state's requirements.
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The purpose is to address specific issues or concerns in a particular state.
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Information relevant to the specific issues or concerns being addressed.
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