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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:15E66710/12/2012FORM

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What is this visit was for?

This visit was for auditing purposes.

Who is required to file this visit was for?

The department head of the company is required to file this visit.

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You can fill out this visit by providing all relevant information and documentation related to the audit.

What is the purpose of this visit was for?

The purpose of this visit is to ensure compliance with regulations and accuracy of financial records.

What information must be reported on this visit was for?

All financial transactions, records, and supporting documents must be reported on this visit.

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