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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:15517112/21/2016FORM
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Survey date 110116 refers to the specific date (November 1, 2016) for conducting a survey or submitting information.
Entities or individuals who are requested to participate in the survey or submit information on November 1, 2016 are required to file survey date 110116.
To fill out survey date 110116, individuals or entities need to provide the required information accurately and completely according to the instructions provided.
The purpose of survey date 110116 is to gather specific information or data on a particular day, which can be used for analysis, decision-making, or reporting purposes.
The specific information or data to be reported on survey date 110116 will be outlined in the survey instructions or guidelines that are provided.
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