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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL ID: L5YB PART I TO BE COMPLETED BY THE STATE SURVEY AGENCY Facility
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Id l5yb is a unique identification number assigned to a specific form or document.
The individuals or entities specified by the governing authorities are required to file id l5yb.
Id l5yb can be filled out by providing the requested information accurately and completely.
The purpose of id l5yb is to facilitate the identification and tracking of specific documents or forms.
The information to be reported on id l5yb may include personal details, financial data, or other relevant information.
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