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PRINTED: 07/11/2012 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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NH 21-C0442 06-02-21 refers to a specific form or document related to healthcare professionals, possibly a reporting or compliance form for doctors in a certain jurisdiction.
Doctors and healthcare providers who meet certain criteria, such as those falling under this particular regulation or requirement, are required to file NH 21-C0442 06-02-21.
To fill out NH 21-C0442 06-02-21, follow the instructions provided on the form carefully, ensuring that all relevant sections are completed with accurate information.
The purpose of NH 21-C0442 06-02-21 is to establish compliance with specific medical or regulatory standards, allowing for the documentation of necessary information by doctors.
Typically, NH 21-C0442 06-02-21 requires reporting of details such as physician credentials, practice location, services provided, and compliance with safety regulations.
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