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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:15536204/20/2017FORM
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The survey date 012317 refers to the date of a specific survey conducted on January 23, 2017.
Entities or individuals who were part of the survey conducted on January 23, 2017 are required to file survey date 012317.
To fill out survey date 012317, the required information from the survey conducted on January 23, 2017 must be accurately reported in the designated form.
The purpose of survey date 012317 is to gather specific data or information from the survey conducted on January 23, 2017 for analysis or compliance purposes.
The information to be reported on survey date 012317 includes the data collected, responses given, and any relevant details from the survey conducted on January 23, 2017.
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