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please send my certification result(s) to: Agency Name: TN DHS, Attn. Based IRGIS Agency streetAddress: James K. Polk Building, 505 Frederick Agency City, State, Zip Code: Nashville, TN 372431403DaleStreet,
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Obtain the required form TN DHS Attn Basem.
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Fill out the form clearly and legibly with accurate and up-to-date information.
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Who needs tn dhs attn basem?

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Individuals who are seeking assistance or services from the Tennessee Department of Human Services (TN DHS) and need their request to be directed to Basem specifically.
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tn dhs attn basem is a form used by the Tennessee Department of Human Services to report information about a specific individual.
Individuals or organizations who are responsible for the care or services provided to the individual.
The form must be completed with accurate information and submitted to the Tennessee Department of Human Services.
The purpose is to ensure that the individual's care or services are being properly documented and reported.
Information such as the individual's name, services provided, dates of service, and any other relevant details.
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