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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:15G69801/07/2013FORM

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How to fill out dates of survey december

01

Start by selecting the month as December in the survey form.

02

Once you have selected the month, locate the section where you are required to fill out the dates.

03

Begin by entering the starting date of the survey in the provided field.

04

Next, move on to the ending date of the survey and enter it in the respective field.

05

Make sure to accurately input the day, month, and year for both the starting and ending dates.

06

Double-check the dates you have entered to ensure they are correct.

07

Finally, submit the survey form with the correctly filled out dates for December.

Who needs dates of survey december?

01

Individuals or organizations conducting surveys in the month of December require the dates of survey December.

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