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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:15G74608/08/2013FORM
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This visit was a routine checkup with your doctor.
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Patients who receive medical services during the visit are required to file.
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The purpose of this visit was to monitor your health and address any medical concerns.
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