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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:15548405/30/2013FORM
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This visit was for anyone who requires medical attention, diagnosis, treatment, or consultation. It can be for individuals of all ages, including children, adults, and the elderly. Whether it is a routine check-up, a specialist visit, or seeking medical advice, anyone in need can fill out this visit form.
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