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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:15G59303/13/2012FORM
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What is this visit was a?
This visit was a routine check-up.
Who is required to file this visit was a?
All patients are required to file this visit.
How to fill out this visit was a?
You can fill out this visit by providing your personal information and any relevant medical history.
What is the purpose of this visit was a?
The purpose of this visit is to ensure your health and well-being.
What information must be reported on this visit was a?
You must report any symptoms, medications, or changes in your health since your last visit.
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