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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:15G06803/06/2012FORM

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Step 1: Begin by logging into the w0000 website using your credentials.

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W0000 is a form that needs to be filed with the relevant authority to report a visit or meeting.

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