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PRINTED: 10/14/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:PINEWOOD FACILITY (X4) ID PREFIX
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The unsubstantiated intake nc00156727 refers to a report or claim that was not proven or supported by evidence.
The entity or individual who received the report or claim is required to file the unsubstantiated intake nc00156727.
To fill out the unsubstantiated intake nc00156727, the required information must be provided accurately and completely as per the guidelines provided.
The purpose of the unsubstantiated intake nc00156727 is to document and track reports or claims that were found to be unsupported by evidence.
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