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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:15G51305/10/2012FORM
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w0000 is a document that needs to be filled out during this visit to report the necessary information.
Anyone who is participating in this visit and has the relevant information is required to file w0000.
To fill out w0000, you need to provide all the required information accurately and completely according to the instructions given.
The purpose of w0000 is to gather and report specific information related to this visit for record-keeping and compliance purposes.
Information such as date and time of visit, purpose of visit, individuals involved, and any other relevant details must be reported on w0000.
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