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FOR BHF USELL1 2011 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGTERM CARE FACILITIES (FISCAL YEAR 2011)I.IDPH License ID Number:
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The information to be reported would depend on the specific requirements set out by the authority managing the fax, which typically includes identification details, relevant dates, and any data pertinent to the filing.
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