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PRINTED: 07/30/2019 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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The 0806 form approved is a specific form used for reporting certain financial or tax-related information to the relevant authorities, typically used in a regulatory context.
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The information that must be reported on the 0806 form typically includes financial details, identification information, and any other specifics required by the regulatory body.
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