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02/14/2024PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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In00417671, In00418149, and In00418245 refer to specific forms or documentation required for reporting certain information in various administrative or regulatory requirements.
Entities or individuals specified by the governing body or authority that mandates the use of these forms are required to file them. This often includes businesses, organizations, or professionals involved in certain activities.
To fill out these forms, collect the necessary information as specified in the instructions provided for each form, ensuring all sections are completed accurately before submission.
The purpose of these forms is to ensure compliance with regulatory requirements by collecting and reporting specific information to the relevant authorities.
The information required typically includes identification details, financial data, operational statistics, and other pertinent information as outlined in the form's guidelines.
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