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PRINTED: 10/24/2018 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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The 1029 form approved is a specific form used for reporting certain financial or tax information required by regulatory authorities.
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Individuals or entities that meet certain financial thresholds or are involved in specific types of transactions as outlined by the relevant regulatory body are required to file the 1029 form approved.
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