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PRINTED: 06/05/2023 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 0605 form is an official document used for specific reporting purposes as mandated by a government authority, often related to tax or financial information.

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Individuals or entities that meet certain criteria set by the regulatory body, usually involving specific financial activities or thresholds, are required to file the 0605 form.

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