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PRINTED: 08/11/2015 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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The 0811 form approved is a document used to report certain financial information to the relevant authorities.
Certain organizations or individuals may be required to file the 0811 form approved, depending on their financial activities.
To fill out the 0811 form approved, you will need to provide specific financial information as requested on the form.
The purpose of the 0811 form approved is to ensure that relevant financial information is reported accurately to the authorities.
The information that must be reported on the 0811 form approved may include details on income, expenses, assets, and liabilities.
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