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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15552304/14/2014FORM
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The visit was in a business location.
All employees who participated in the visit are required to file.
The visit should be documented with details about the location, date, purpose, and attendees.
The purpose of the visit was to inspect the business location for compliance.
Information such as the date, time, location, purpose, and attendees must be reported.
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