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PRINTED: 02/27/2015
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 0304 form approved?
The 0304 form approved is a document used for reporting financial information to the relevant authority.
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Entities or individuals who meet certain criteria set by the authority are required to file the 0304 form approved.
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