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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:15518704/20/2017FORM
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To fill out the licensure survey, follow these steps:
02
Access the survey form on the licensure website.
03
Read the instructions and prompts carefully.
04
Provide accurate and complete information.
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Use the dropdown menus or checkboxes to select options where applicable.
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Use the text fields to enter relevant information.
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Double-check your responses for any errors or omissions.
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Submit the survey form once you have reviewed and verified all the information.
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Keep a copy of the confirmation or receipt as proof of completion.
Who needs licensure survey completed on?
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Anyone who requires licensure or certification in a specific field or industry needs to complete the licensure survey. This can include professionals such as doctors, lawyers, engineers, teachers, architects, and many others. The survey helps authorities gather data and evaluate the eligibility of individuals for licensure or certification.
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