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Printed: 12/13/2024 Form Approved OMB No. 09380391Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA
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6th and Highway 69 refers to a specific intersection or location that may be associated with regulatory filings or zoning applications depending on the local jurisdiction.
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Individuals or businesses operating at or near the intersection of 6th and Highway 69 may be required to file relevant documents or reports, depending on local regulations.
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Information required may include the name of the business or individual, the nature of the operations, compliance details with local zoning laws, and any additional documentation as mandated by local authorities.
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