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PRINTED: 07/21/2021
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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What is printed 0721 form approved?
The printed 0721 form approved is a specific tax form used for reporting certain financial information by entities or individuals to a government tax authority.
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