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PRINTED: 11/14/2023
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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Event ID MADX11 is a specific identifier used for reporting certain events or transactions to regulatory authorities.
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The information that must be reported includes details about the event, participants, dates, and relevant financial data.
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