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PRINTED: 01/29/2013 FORM APPROVED DEPARTMENT 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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The OMB No 0938-0391 department is the Department of Health and Human Services (HHS) Office of Management and Budget (OMB) Control Number for a specific form or document.
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